Individual
GEORGE DALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 HOPE AVE, SUITE G06, WALTHAM, MA 02453
(781) 894-2996
(781) 647-5996
Mailing address
20 HOPE AVE, SUITE G06, WALTHAM, MA 02453
(781) 894-2996
(781) 647-5996
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49093
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049093
TUFTS
—
01
—
J02260
BCBS
—
Enumeration date
09/30/2006
Last updated
12/05/2011
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