Provider Demographics
NPI:1487450649
Name:STEFO, VASILIKA
Entity type:Individual
Prefix:
First Name:VASILIKA
Middle Name:
Last Name:STEFO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-4655
Mailing Address - Country:US
Mailing Address - Phone:781-353-9887
Mailing Address - Fax:
Practice Address - Street 1:71 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-4655
Practice Address - Country:US
Practice Address - Phone:781-353-9887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program