Individual
ILENA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114
(650) 387-8553
Mailing address
32 CAMBRIDGE ST APT 2126, CHARLESTOWN, MA 02129-1322
(650) 387-8553
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
281065
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2013
Last updated
08/21/2019
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