Provider Demographics
NPI:1912334525
Name:WESTFORD VEIN & AESTHETIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:WESTFORD VEIN & AESTHETIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CALIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VASILIU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-577-6120
Mailing Address - Street 1:5A CORNERSTONE SQUARE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-2609
Mailing Address - Country:US
Mailing Address - Phone:978-577-6120
Mailing Address - Fax:
Practice Address - Street 1:5 CORNERSTONE SQ STE 201
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886
Practice Address - Country:US
Practice Address - Phone:978-577-6120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2140632086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty