Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 55651 | MA |
NPI | 1023057361 |
---|---|
Provider Name | George Christman JR. |
First Address | Falmouth, MA 02540 |
Second Address | Falmouth, MA 02540 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 18/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000029639 | BOSTON MEDICAL CENTER (01) | MA |
0023798 | NEIGHBORHOOD HEALTH (NHP) (01) | |
060058498 | MEDICARE ID (01) | MA |
060058498 | TRICARE (01) | |
1023057361 | GREAT WEST HEALTHCARE (01) | MA |
1023057361 | NETWORK HEALTH (01) | MA |
1023057361 | UNICARE (01) | MA |
11079489 | CAQH (01) | |
2289125 | AETNA (01) | |
2500645 | UNITED HEALTH (01) | |
3007740 | (05) | MA |
3124 | HARVARD PILGRIM (01) | MA |
55651 | MA LICENSE (01) | |
708932 | TUFTS (01) | |
B20982301 | CIGNA (01) | |
B74644 | (02) | MA |
BC0406187 | FEDERAL DEA (01) | |
J05240 | BCBS OF MA (01) | MA |
MC0345884A | MA CDS (01) |