Individual
ALEXANDRU LUCIAN VASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 PENNSYLVANIA AVE, SAINT LOUIS, MO 63133-1325
(314) 512-7800
Mailing address
1901 PENNSYLVANIA AVE, SAINT LOUIS, MO 63133-1325
(314) 512-7800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2013029398
MO
2084P0800X
Psychiatry Physician
Primary
MD425828
PA
2084P0804X
Child & Adolescent Psychiatry Physician
2013029398
MO
2084P0804X
Child & Adolescent Psychiatry Physician
MD425828
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019357820001
—
PA
01
—
11762810
COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE
—
01
—
1969275
HIGHMARK- BLUE CROSS BLUE SHIELD
PA
05
—
200008604
—
MO
Enumeration date
03/08/2007
Last updated
10/28/2013
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