Individual
PAUL GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4100
Mailing address
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD12630
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000701803
MEDICARE PTAN
RI
05
—
PG72804
—
RI
Enumeration date
08/17/2006
Last updated
06/23/2025
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