Provider Demographics
NPI:1912193269
Name:ROGERS, GEORGE T (CO)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:T
Last Name:ROGERS
Suffix:
Gender:M
Credentials:CO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:246 PLEASANT STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2548
Mailing Address - Country:US
Mailing Address - Phone:603-226-0106
Mailing Address - Fax:603-226-0845
Practice Address - Street 1:25 BUTTRICK RD BLDG B
Practice Address - Street 2:UNIT 4
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3352
Practice Address - Country:US
Practice Address - Phone:603-425-0106
Practice Address - Fax:603-226-0845
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH020504606OtherCIGNA
NH1209857Y0NH01OtherANTHEM
ME143190000Medicaid
NH30760132Medicaid
VT1006572Medicaid
NH7628001OtherAETNA