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Individual
GEORGE DALLOS
Active
Individual
GEORGE DALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49093
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049093
TUFTS
—
01
—
J02260
BCBS
—
Enumeration date
09/30/2006
Last updated
12/05/2011
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