Provider Demographics
NPI:1659147346
Name:VAISLIC, CLAUDE DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDE
Middle Name:DANIEL
Last Name:VAISLIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 RUE MOXOURIS
Mailing Address - Street 2:
Mailing Address - City:LE CHESNAY
Mailing Address - State:FRANCE
Mailing Address - Zip Code:78150
Mailing Address - Country:FR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21 RUE MOXOURIS
Practice Address - Street 2:
Practice Address - City:LE CHESNAY
Practice Address - State:FRANCE
Practice Address - Zip Code:78150
Practice Address - Country:FR
Practice Address - Phone:066-329-4841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39410207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine