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NPI 1861675167

NPI 1861675167 : GEORGE P SORESCU MD : BROCKTON, MA

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General NPI Number Information
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    NPI Number           |    1861675167
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    Entity Type          |    Individual 
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    Provider Name        |    GEORGE P SORESCU MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/10/2007
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    Last Update Date     |    03/06/2025
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Provider Practice Location Address
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    Address Line         |    830 OAK ST STE 123E 
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    City                 |    BROCKTON
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    State                |    MA
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    Zip                  |    02301-1168
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    Country              |    US
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    Telephone            |    508-588-0832
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    Fax                  |    508-510-6082
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Provider Business Mailing Address
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    Address Line         |    170 MORTON ST 
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    City                 |    JAMAICA PLAIN
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    State                |    MA
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    Zip                  |    02130-3735
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    Country              |    US
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    Telephone            |    179-716-3338
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    234737
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    234737
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    234737
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    License Number State |    MA
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Taxonomy #4
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    234737
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    License Number State |    MA
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Taxonomy #5
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    4301091259
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    License Number State |    MI
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