Individual
NOBLE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3998 RED LION ROAD, PHILADELPHIA, PA 19114-1436
(215) 612-4021
Mailing address
4 NESHAMINY INTERPLEX, SUITE 209, TREVOSE, PA 19053-6940
(215) 244-3070
(215) 638-9041
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
25MA08695600
NJ
207U00000X
Nuclear Medicine Physician
MD438516
PA
2085N0904X
Nuclear Radiology Physician
25MA08695600
NJ
2085N0904X
Nuclear Radiology Physician
MD438516
PA
2085R0202X
Diagnostic Radiology Physician
25MA08695600
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD438516
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226840
—
NJ
05
—
102398695-0001
—
PA
01
—
P00794131
RAILROAD MEDICARE
PA
01
—
P00827140
RAILROAD MEDICARE
NJ
Enumeration date
11/29/2007
Last updated
01/05/2011
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