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Physician Compare National (NPI:1407950108)

HEALTHCARE PROVIDER: GEORGE J. POGGIOLI JR. M.D., PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1407950108
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9133293707
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080730000445
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name POGGIOLI
Individual professional last name
Provider First Name GEORGE
Individual professional first name
Provider Middle Name JOSEPH
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Individual professional's medical school
Graduation Year 2003
Individual professional's medical school graduation year
Primary Specialty DERMATOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 13111 E BRIARWOOD AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 305
Group Practice or individual's line 2 address
City CENTENNIAL
Group Practice or individual's city
State CO
Group Practice or individual's state
Zip Code 801124566
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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