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Individual
DR. GEORGE ALAN IDELKOPE
Active
Individual
DR. GEORGE ALAN IDELKOPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
6958
VT
207Q00000X
Family Medicine Physician
Primary
6756
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00005673
BLUE CROSS BLUE SHIELD VT
VT
05
—
0005673
—
VT
01
—
0100563YPNH01
ANTHEM
NH
01
—
5777219
AETNA
—
05
—
82080563
—
NE
Enumeration date
07/24/2006
Last updated
07/11/2008
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