Healthcare Provider Details

I. General information

NPI: 1083643084
Provider Name (Legal Business Name): JULIANA ROSE CINQUE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIANA CINQUE VALDIN MD

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 03/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5575 W LAS POSITAS BLVD 220
PLEASANTON CA
94588-5801
US

IV. Provider business mailing address

1789 BARCELONA ST
LIVERMORE CA
94550
US

V. Phone/Fax

Practice location:
  • Phone: 925-416-1122
  • Fax: 925-416-2291
Mailing address:
  • Phone: 925-416-1122
  • Fax: 925-416-2291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberG34585
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: