George H. Theodore, Md Pc
LBN: George H. Theodore, Md Pc
George H. Theodore, Md Pc is an health care organization with primary practice located at 175 Cambridge St 4Th Floor, Boston MA 02114-2743. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as the primary health care specialty.
George H. Theodore, Md Pc can be contacted via phone (617) 724-7009, or through Theodore, George H via phone (617) 726-1344.
Contact Information
Primary practice address
175 Cambridge St 4Th Floor
Boston MA 02114-2743
Phone: (617) 724-7009
Fax: (617) 643-1006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 150940 | Massachusetts |
Profile Details
| NPI number | 1215925888 |
|---|---|
| LBN Legal business name | George H. Theodore, Md Pc |
| DBA Doing business as | |
| Authorized official | Theodore, George H Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Oct 14th, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215925888 | NPPES |
| Massachusetts | Other | 727867 | TUFTS |
| Massachusetts | MEDICAID | 9730290 | TUFTS |
| Massachusetts | Other | M18225 | TUFTS |
| Massachusetts | Other | 173652 | TUFTS |
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