Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 159737 | MA |
NPI | 1174510226 |
---|---|
Provider Name | George M Flesh |
First Address | Chestnut Hill, MA 02467-3628 |
Second Address | Chestnut Hill, MA 02467-3628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 23/09/2011 |