Provider Demographics
NPI:1851477632
Name:GEORGE, GEORGE V (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:V
Last Name:GEORGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 BOSLEY AVE
Mailing Address - Street 2:SUITE C6
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4328
Mailing Address - Country:US
Mailing Address - Phone:410-337-5337
Mailing Address - Fax:410-337-5338
Practice Address - Street 1:222 BOSLEY AVE
Practice Address - Street 2:SUITE C6
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4328
Practice Address - Country:US
Practice Address - Phone:410-337-5337
Practice Address - Fax:410-337-5338
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0020958207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
41407301OtherBCBS
MD050016143OtherRAILROAD MEDICARE
4E67000001OtherFEDERAL BCBS
MD777971200Medicaid
MD050016143OtherRAILROAD MEDICARE
41407301OtherBCBS