Provider Demographics
NPI:1023057361
Name:CHRISTMAN, GEORGE JR (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:CHRISTMAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:90 TER HEUN DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540
Mailing Address - Country:US
Mailing Address - Phone:508-540-0604
Mailing Address - Fax:508-457-0129
Practice Address - Street 1:90 TER HEUN DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540
Practice Address - Country:US
Practice Address - Phone:508-540-0604
Practice Address - Fax:508-457-0129
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA55651207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1023057361OtherNETWORK HEALTH
2289125OtherAETNA
55651OtherMA LICENSE
060058498OtherTRICARE
MA000000029639OtherBOSTON MEDICAL CENTER
2500645OtherUNITED HEALTH
MA060058498OtherMEDICARE ID
MA3124OtherHARVARD PILGRIM
0023798OtherNEIGHBORHOOD HEALTH (NHP)
11079489OtherCAQH
MA3007740Medicaid
MA1023057361OtherUNICARE
B20982301OtherCIGNA
MAJ05240OtherBCBS OF MA
MA1023057361OtherGREAT WEST HEALTHCARE
708932OtherTUFTS
MC0345884AOtherMA CDS
MC0345884AOtherMA CDS
MA3007740Medicaid
MAJ05240Medicare PIN