Individual
DR. MICHAEL J. GEORGETSON
Active
Individual
DR. MICHAEL J. GEORGETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
174652-1
NY
207RG0100X
Gastroenterology Physician
Primary
MD036907E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010736000002
—
PA
01
—
100014270
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039897
MEDICARE GROUP
PA
01
—
P00379066
RR MEDICARE PIN
NY
Enumeration date
02/27/2006
Last updated
03/05/2021
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