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Individual

GEORGE J EMODI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19818
NE
207X00000X
Orthopaedic Surgery Physician
30702
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0964650
IA
05
10025486000
NE
05
1922028323
IA
01
200020731
RAILROAD MEDICARE
01
30641
BCBS
NE
05
47060320813
NE
05
47068731742
NE
05
47068731751
NE
05
47068731795
NE
05
47068731799
NE
01
90987
BCBS
IA
Enumeration date
07/20/2006
Last updated
12/13/2023
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