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Individual

GEORGE P KINZFOGL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
99 LINCOLN ST, FRAMINGHAM, MA 01702-6327
(508) 875-4811
(508) 875-5942
Mailing address
99 LINCOLN ST, FRAMINGHAM, MA 01702-6327
(508) 875-4811
(508) 875-5942

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
214550
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0032798
NHP
01
030390670
UHC
05
2045222
MA
01
3465688
CIGNA
01
3543758
AETNA/USHC
01
465552
TUFTS
01
86109
FALLON
01
AA15449
HPHC
01
J27251
BCBSMA
MA
01
P001177639
PALMETTO GBA (RR MCARE)
Enumeration date
11/02/2005
Last updated
08/15/2012
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