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Contact Information

GEORGE H THEODORE, MD
175 CAMBRIDGE ST
4TH FLOOR
BOSTON, MA02114-2743
 Phone: 617-724-7009
 Fax: 617-643-1006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GEORGE H THEODORE · (Male)

NPI # 1639171101
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2005
Last updated 03/27/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 150940
  • MA Medicaid 3152502
Hospital affiliation(s)
  • MASSACHUSETTS GENERAL HOSPITAL - (Acute Care)
    55 FRUIT STREET
    BOSTON, MA 02114
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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