Individual
JOHAN GUILLAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 YORK AVE, NEW YORK, NY 10021-5663
(646) 962-8747
Mailing address
166 BRYANT ST APT F, PALO ALTO, CA 94301-1105
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
315641
NY
207RI0200X
Infectious Disease Physician
315641
NY
208M00000X
Hospitalist Physician
Primary
315641
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2015
Last updated
11/04/2022
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