Dallos, George
Dallos, George is an sole proprietor health care provider with primary practice located at 20 Hope Ave Suite G06, Waltham MA 02453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dallos, George can be contacted via phone (781) 894-2996.Contact Information
Primary practice address
20 Hope Ave Suite G06
Waltham MA 02453
Phone: (781) 894-2996
Fax: (781) 647-5996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 49093 | Massachusetts |
Profile Details
| NPI number | 1922191329 |
|---|---|
| LBN Legal business name | Dallos, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2006 |
| Last updated | Dec 5th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922191329 | NPPES |
| Other | J02260 | BCBS | |
| Other | 049093 | BCBS |
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