MEDICARE: ALEXANDRA GEORGE

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
1	363A00000X	Physician Assistant	1590	NH
2	363A00000X	Physician Assistant	055-0031600	VT

General Provider Information

NPI Number	:	1740841642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA GEORGE

Provider Business Mailing Address
First Line	:	350 TILLEY DR STE 201
Second Line	:
City	:	SOUTH BURLINGTON
State	:	VT
Zip	:	05403-4539
Country	:	US
Telephone Number	:	802-847-4570
Fax Number	:	802-847-3364

Provider Business Practice Location Address
First Line	:	1 S PROSPECT ST
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05401-3456
Country	:	US
Telephone Number	:	802-847-4531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2019
Last Update Date	:	02/16/2026

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Directions to “ ALEXANDRA GEORGE ” Practice Location

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