Individual
PHYU P VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 SPRING GARDEN RD, HAMMONTON, NJ 08037-2516
(609) 561-1700
Mailing address
202 BARBARA LN, FRANKLINVILLE, NJ 08322-3855
(856) 875-7399
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06752800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066521C2B
MEDICARE BILLING NO
NJ
Enumeration date
11/28/2006
Last updated
12/04/2007
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