Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 227094 | MA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 227094 | MA |
NPI | 1154310381 |
---|---|
Provider Name | Dr. George Sinclair Dyer |
First Address | Brookline, MA 02445-6007 |
Second Address | Boston, MA 02115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2005 |
Last Update Date | 24/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110077187A | (05) | MA |