Provider Demographics
NPI:1255435707
Name:VASILESCU, ANA-CRISTINA (MD)
Entity type:Individual
Prefix:
First Name:ANA-CRISTINA
Middle Name:
Last Name:VASILESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 PRENTISS LN
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2021
Mailing Address - Country:US
Mailing Address - Phone:617-484-6873
Mailing Address - Fax:617-484-6873
Practice Address - Street 1:235 N PEARL ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-1794
Practice Address - Country:US
Practice Address - Phone:508-427-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71607207V00000X
NH19846207V00000X
MEMD23120207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA35394OtherHEALTHSOURCE OF NH
MA0700705OtherUNITED HEALTHCARE
MA071607OtherTUFTS HEALTHCARE
MA130905OtherHARVARD PILGRIM HEALTHCAR
MA3061027Medicaid
MAJ08972OtherBLUE CROSS BLUE SHIELD
MA0019894OtherNEIGHBORHOOD HEALTHPLAN
B20337601OtherCIGNA
MA2001186OtherAETNA USHEALTHCARE
B20337601OtherCIGNA
MA35394OtherHEALTHSOURCE OF NH