Individual
DR. GEORGE ALAN IDELKOPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
68 BRATTLEBORO RD, HINSDALE, NH 03451
(603) 336-5948
(603) 336-5949
Mailing address
116 PINNACLE SPRINGS RD, CHESTERFIELD, NH 03443-3815
(603) 363-8136
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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