Individual
DR. VASSILY MIHAILOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 W COLE RD, BIDDEFORD, ME 04005-9428
(207) 284-6114
(207) 282-6118
Mailing address
1050 WALL ST W STE 360, LYNDHURST, NJ 07071-3604
(201) 821-7900
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
012135
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002110
BLUE CROSS BLUE SHIELD
ME
01
—
0104586Y0ME01
BLUE CROSS BLUE SHIELD
NH
01
—
1042105
AETNA
ME
05
—
125300000
—
ME
Enumeration date
06/11/2006
Last updated
02/27/2018
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