Individual
ANTON CONSTANTIN VASILIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6611 CLYO RD, SUITE E, CENTERVILLE, OH 45459-2786
(937) 208-8283
(937) 208-8293
Mailing address
6611 CLYO RD, SUITE E, CENTERVILLE, OH 45459-2786
(937) 208-8283
(937) 208-8293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35064984V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0930309
—
OH
Enumeration date
09/20/2005
Last updated
08/16/2010
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