institution
George H. Theodore, Md Pc
Orthopedic Foot and Ankle Surgery Physician in Boston, Massachusetts
NPI 1215925888

George H. Theodore, Md Pc is a Orthopedic Foot and Ankle Surgery Physician based in Boston, MA and is specialized in Foot and Ankle Surgery. George H. Theodore, Md Pc practices in Boston, MA. The NPI Number for George H. Theodore, Md Pc is 1215925888 and holds a License No. 150940 (Massachusetts).

The current practice location address for George H. Theodore, Md Pc is 175 Cambridge St, Boston, MA and can be reached out via phone at 617-724-7009 and via fax at 617-643-1006.

Location: 175 Cambridge St, Boston, MA, 02114-2743
institution
Provider Profile Details
NPI Number
1215925888
Provider Name
George H. Theodore, Md Pc
Credential
Provider Entity Type
Organization
Address
175 Cambridge St, Boston, MA, 02114-2743
Phone Number
617-724-7009
Fax Number
617-643-1006
Provider Enumeration Date
10/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
727867 01 MA TUFTS
9730290 05 MA
M18225 01 MA BCBS MA
173652 01 MA HPHC
institution
Provider Business Practice Location Address Details
Address
175 Cambridge St
City
State
Zip
02114-2743
Phone Number
617-724-7009
Fax Number
617-643-1006
person
Provider Business Mailing Address Details
Address
175 Cambridge St
City
State
Zip
02114-2743
Phone Number
617-724-7009
Fax Number
617-643-1006
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
License No.
150940 (Massachusetts)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
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