John Eblem George in Worcester - Podiatrist

John Eblem George - NPI 1477560076

John Eblem George is a Podiatrist in Worcester, Massachusetts. John Eblem George practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for John Eblem George is 1477560076. The last update date is 2008-05-22.

John Eblem George's current location address is 255 Park Ave, Worcester, Massachusetts. You can contact this provider via phone number 5087573803 and fax number 5087578011. The mailing address for John Eblem George is 255 Park Ave, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name John Eblem George
Address 255 Park Ave, Worcester, Massachusetts
Phone Number 5087573803
Fax Number 5087578011
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1477560076
Provider Enumeration Date 2006-08-03
Last Updated Date 2008-05-22

Provider Mailing Address Detail

Address 255 Park Ave
City Worcester
State Massachusetts (MA)
Post Code 16091953
Phone Number 5087573803
Fax Number 5087578011

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 1359
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9716696 MA --

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FAQs about John Eblem George

What is the unique identifier code issued to John Eblem George by the Centers for Medicare & Medicaid Services (CMS)?

The John Eblem George has been assigned the NPI (National Provider Identifier) 1477560076. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where John Eblem George's facilities are geographically located?

The facilities of John Eblem George are physically situated at the following location: 255 Park Ave, Worcester, MA, 16091953.

What is the John Eblem George's specialty and taxonomy code?

The John Eblem George's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.

When did John Eblem George receive its 1477560076 assignment?

The John Eblem George was assigned its 1477560076 on 2006-08-03, which is the date when this unique identifier was issued to the organization.

When was the John Eblem George's information last updated?

The John Eblem George's information was last updated on 2008-05-22.

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