Provider Demographics
NPI:1063079309
Name:GLAZYRINE, VASSILI (MD)
Entity type:Individual
Prefix:DR
First Name:VASSILI
Middle Name:
Last Name:GLAZYRINE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4 ELLIOT WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3553
Mailing Address - Country:US
Mailing Address - Phone:603-836-1590
Mailing Address - Fax:603-836-1616
Practice Address - Street 1:17 RIVERSIDE ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1304
Practice Address - Country:US
Practice Address - Phone:603-577-3190
Practice Address - Fax:603-577-3191
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2024-08-19
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Provider Licenses
StateLicense IDTaxonomies
NH32139208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology