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NPI Code Detail

MEDICARE: GEORGE M FLESH MD

MEDICARE: GEORGE M FLESH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician159737MA

General Provider Information

NPI Number : 1174510226
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE M FLESH MD
Provider Business Mailing Address
First Line : 291 INDEPENDENCE DR
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-3628
Country : US
Telephone Number : 617-541-6646
Fax Number : 617-541-7548
Provider Business Practice Location Address
First Line : 291 INDEPENDENCE DR
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-3628
Country : US
Telephone Number : 617-541-6646
Fax Number : 617-541-7548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 09/23/2011

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