# DR. GEORGE ALAN IDELKOPE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003838210
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 6958 | VT | — |
| 207Q00000X | Family Medicine Physician | 6756 | NH | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 07/11/2008

## 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 |