Individual
JOSE ANTONIO VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 BARBARA LN, FRANKLINVILLE, NJ 08322-3855
(856) 875-7399
Mailing address
202 BARBARA LN, FRANKLINVILLE, NJ 08322-3855
(856) 875-7399
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA05947100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
786070C2B
MEDICARE BILLING NO
NJ
Enumeration date
02/02/2007
Last updated
12/05/2007
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