| Doctor Name: | DR. A JACQUES GUILLAUME |
| NPI Number: | 1366473241 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 128962 |
| Business Practice Address: | 22767 114th Ave Cambria Heights, NY - 114111303 |
| Business Phone Number: | 7186134080 |
| Business Fax Number: | 7186134257 |
| Mailing Address: | 22767 114th Ave, CAMBRIA HEIGHTS |
| State: | NY |
| Postal Code: | 114111303 |
| Phone Number: | 7186134080 |
| Fax Number: | 7186134257 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VE0102X |
| License Number: | 128962 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Reproductive Endocrinology |
| Taxonomy Definition: | An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |