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Contact Information

VICTORIA C VALLEJO, PA-C
11 MERIDIAN RD
EATONTOWN, NJ07724-2242
 Phone: 732-663-0300
 Fax: 732-663-0301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for VICTORIA C VALLEJO · (Female)

NPI # 1851648687
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/10/2012
Last updated 04/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00464400
  • NY License # 015871
  • NJ Other 25MP00464400 STATE LICENSE
  • NY Other 015871 STATE LICENSE
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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