Healthcare Provider Details

I. General information

NPI: 1861675167
Provider Name (Legal Business Name): GEORGE P SORESCU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: N/A N/A M.D.

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 03/06/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 OAK ST STE 123E
BROCKTON MA
02301-1168
US

IV. Provider business mailing address

170 MORTON ST
JAMAICA PLAIN MA
02130-3735
US

V. Phone/Fax

Practice location:
  • Phone: 508-588-0832
  • Fax: 508-510-6082
Mailing address:
  • Phone: 179-716-3338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number234737
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number234737
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number234737
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number234737
License Number StateMA
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301091259
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: