# GEORGE H. THEODORE, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215925888
- **Authorized official:** GEORGE H THEODORE M.D. (OWNER)
- **Authorized official phone:** (617) 726-1344

## Contact information

- **Practice address:** 175 CAMBRIDGE ST, 4TH FLOOR, BOSTON, MA 02114-2743
- **Practice address phone:** (617) 724-7009
- **Practice address fax:** (617) 643-1006
- **Mailing address:** 175 CAMBRIDGE ST, 4TH FLOOR, BOSTON, MA 02114-2743
- **Mailing address phone:** (617) 724-7009
- **Mailing address fax:** (617) 643-1006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | 150940 | MA | Yes |

## Other

- **Enumeration date:** 10/07/2005
- **Last updated:** 10/14/2014