Individual
MR. NICK GEORGE GEORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BARBER
Contact information
Practice address
130 SYLVAN ST, SUITE 5, DANVERS, MA 01923-3675
(978) 750-8200
(978) 750-4010
Mailing address
130 SYLVAN ST DANVERS MA 01923, SUITE 5, DANVERS, MA 01923-3675
(978) 750-8200
(978) 750-4010
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
16237
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363354
BLUE CROSS BLUE SHIELD
MA
01
—
703485
HARVARD PILGRIM
MA
Enumeration date
01/19/2007
Last updated
07/08/2007
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