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Individual

DR. MARIA VASILYADIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
925 SENECA ST, SEATTLE, WA 98101-2742
(206) 583-6433
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60099731
WA
390200000X
Student in an Organized Health Care Education/Training Program
245281
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8553638
WA
Enumeration date
08/30/2007
Last updated
12/28/2009
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