Healthcare Provider Details

I. General information

NPI: 1104268416
Provider Name (Legal Business Name): PAUL GEORGES DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2013
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEETING HOUSE RD STE 5
CHELMSFORD MA
01824-2734
US

IV. Provider business mailing address

1 MEETING HOUSE RD STE 5
CHELMSFORD MA
01824-2734
US

V. Phone/Fax

Practice location:
  • Phone: 978-452-0657
  • Fax:
Mailing address:
  • Phone: 978-452-0657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberP88852
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number2439
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number2439
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: