Thalia Vasiliades D.O.

NPI 1912075185 - Family Medicine - 207Q00000X

NPI Details
NPI 1912075185
Gender Female
Enumeration Date 12/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
484 LAFAYETTE AVE
HAWTHORNE NJ, 07506-2522, US
Phone (973) 423-4770
Fax (973) 423-4816
Business Location
3 CHESTER PL
ENGLEWOOD NJ, 07631-3613, US
Phone (201) 568-6205
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number MB074762
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According to our database, Thalia Vasiliades D.O. NPI is 1912075185, taxonomy code is 207Q00000X and license number is MB074762, license state is located at New Jersey. Thalia Vasiliades D.O. physically located at 484 Lafayette Ave, Hawthorne NJ, 07506-2522. NPI Number Thalia Vasiliades D.O. has the Individual type.

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1912075185 NPI number is provided on an as is basis without warranty of any kind. 1912075185 is maintained by the National Plan & Provider Enumeration System. The contents of Thalia Vasiliades D.O. are for informational purposes only.