Individual
NATHAN THOMAS GEORGETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVENUE, BCH3066, BOSTON, MA 02115
(617) 355-6624
(617) 730-0335
Mailing address
300 LONGWOOD AVENUE, BCH3066, BOSTON, MA 02115
(617) 355-6624
(617) 730-0335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125070910
IL
208000000X
Pediatrics Physician
125070910
IL
208000000X
Pediatrics Physician
Primary
287443
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
287443
MA
Other
Enumeration date
06/07/2017
Last updated
04/19/2023
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