George H. Theodore, Md Pc in Boston - Foot And Ankle Surgery

George H. Theodore, Md Pc - NPI 1215925888

George H. Theodore, Md Pc is a Foot And Ankle Surgery in Boston, Massachusetts. George H. Theodore, Md Pc practices all healthcare services and medical treatments related to Foot And Ankle Surgery. The NPI Number for George H. Theodore, Md Pc is 1215925888. The last update date is 2014-10-14.

George H. Theodore, Md Pc's current location address is 175 Cambridge St, Boston, Massachusetts. You can contact this provider via phone number 6177247009 and fax number 6176431006. The mailing address for George H. Theodore, Md Pc is 175 Cambridge St, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization George H. Theodore, Md Pc
Address 175 Cambridge St, Boston, Massachusetts
Phone Number 6177247009
Fax Number 6176431006
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Theodore H George
Credentials M.D.
Telephone Number 6177261344

NPI Number Detail

NPI Number 1215925888
Provider Enumeration Date 2005-10-07
Last Updated Date 2014-10-14

Provider Mailing Address Detail

Address 175 Cambridge St
City Boston
State Massachusetts (MA)
Post Code 21142743
Phone Number 6177247009
Fax Number 6176431006

Provider's Primary Taxonomy Detail

Speciality Foot And Ankle Surgery
Taxonomy 207Xx0004X
Licence No 150940
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and ch

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
727867 MA TUFTS
9730290 MA --
M18225 MA BCBS MA
173652 MA HPHC

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FAQs about George H. Theodore, Md Pc

What is the George H. Theodore, Md Pc's unique identification number?

The George H. Theodore, Md Pc has been assigned the NPI (National Provider Identifier) Number 1215925888 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where George H. Theodore, Md Pc is located?

The George H. Theodore, Md Pc is situated at the following address: 175 Cambridge St, Boston, MA, 21142743.

What is George H. Theodore, Md Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for George H. Theodore, Md Pc is Foot And Ankle Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Xx0004X.

On what date did the Centers for Medicare & Medicaid Services issue the 1215925888 to George H. Theodore, Md Pc?

The George H. Theodore, Md Pc received its 1215925888 assignment from the Centers for Medicare & Medicaid Services on 2005-10-07.

When was the information regarding George H. Theodore, Md Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to George H. Theodore, Md Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-10-14.

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