NPI 1912075185

Thalia Vasiliades, DO

Practitioner Family Medicine Physician Hawthorne, NJ

Practice location

Address: 484 Lafayette Ave, Hawthorne, NJ 07506-2522
Phone: (973) 423-4770
Fax: (973) 423-4816
Mailing address: 3 Chester Pl, Englewood, NJ 07631-3613

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MB074762 (NJ)

Other Family Medicine providers in New Jersey →

Registry record

NPI: 1912075185
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.