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NPI Code Detail

MEDICARE: DR. JON C GEORGE MD

MEDICARE: DR. JON C GEORGE 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
1207RI0011XInterventional Cardiology PhysicianMD436608PA

General Provider Information

NPI Number : 1992746721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JON C GEORGE MD
Provider Business Mailing Address
First Line : 111 STOW AVE STE 200
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-2560
Country : US
Telephone Number : 215-595-5906
Fax Number : 215-392-7992
Provider Business Practice Location Address
First Line : 2418 E YORK ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-3006
Country : US
Telephone Number : 215-575-5906
Fax Number : 215-392-7992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 06/25/2021

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