Healthcare Provider Details

I. General information

NPI: 1033000310
Provider Name (Legal Business Name): JOSEPH VAFIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 HIGH ST
CHARLESTOWN MA
02129-3026
US

IV. Provider business mailing address

73 HIGH ST
CHARLESTOWN MA
02129-3026
US

V. Phone/Fax

Practice location:
  • Phone: 617-724-8135
  • Fax:
Mailing address:
  • Phone: 609-571-6451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: