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NPI Code Detail

MEDICARE: DR. VINU MICHAEL GEORGE M.D.

MEDICARE: DR. VINU MICHAEL GEORGE M.D.
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
12084P0800XPsychiatry PhysicianMT183469PA

General Provider Information

NPI Number : 1811109499
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINU MICHAEL GEORGE M.D.
Provider Business Mailing Address
First Line : 9123A AYRDALE CRES
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-1050
Country : US
Telephone Number : 215-687-2552
Fax Number :
Provider Business Practice Location Address
First Line : 4200 MONUMENT RD
Second Line : BELMONT CENTER FOR COMPREHENSIVE TREATMENT
City : PHILADELPHIA
State : PA
Zip : 19131-1625
Country : US
Telephone Number : 215-581-3846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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