Provider Demographics
NPI:1861675167
Name:SORESCU, GEORGE P (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:P
Last Name:SORESCU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:940 BELMONT ST
Mailing Address - Street 2:HEMATOLOGY-ONCOLOGY
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5596
Mailing Address - Country:US
Mailing Address - Phone:774-826-2318
Mailing Address - Fax:
Practice Address - Street 1:830 OAK ST STE 123E
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-1168
Practice Address - Country:US
Practice Address - Phone:508-588-0832
Practice Address - Fax:508-510-6082
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234737207RH0003X, 207P00000X, 207R00000X, 208M00000X
MI4301091259207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA234737Medicaid