Individual
SHAWN VASDEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BLAKE 11, BOSTON, MA 02114-2621
(617) 726-0788
Mailing address
55 FRUIT ST, BLAKE 11, BOSTON, MA 02114-2621
(617) 726-0788
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
XXXXX
MA
Other
Enumeration date
07/03/2013
Last updated
10/29/2013
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