Provider Demographics
NPI:1275950800
Name:VASILOFF, JEFFREY (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:VASILOFF
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4094 TREEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7312
Mailing Address - Country:US
Mailing Address - Phone:614-270-3551
Mailing Address - Fax:
Practice Address - Street 1:4094 TREEBROOK DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7312
Practice Address - Country:US
Practice Address - Phone:614-270-3551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.051416207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine