Individual
ANDREW RICHARD VACLAVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(201) 575-5016
Mailing address
1400 VFW PARKWAY, VA MEDICAL CENTER, WEST ROXBURY, MA 02132
(201) 575-5016
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
250203
MA
Other
Enumeration date
02/27/2007
Last updated
12/05/2014
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