Individual
RUSSELL GEORGE VASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 BAY STATE RD, SUITE ONE, BOSTON, MA 02215-2108
(617) 437-9566
(617) 975-5274
Mailing address
330 BROOKLINE AVE, RABB 2, BOSTON, MA 02215-5400
(617) 667-4738
(617) 975-5274
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38250
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132144
—
MA
Enumeration date
10/02/2006
Last updated
05/16/2011
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