Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MA08976900 | NJ |
N | 207X00000X | Orthopaedic Surgeon | MD438012 | PA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 25MA08976900 | NJ |
NPI | 1992953434 |
---|---|
Provider Name | Dr. Brian Philip George |
First Address | Marlton, NJ 08053-3126 |
Second Address | Voorhees, NJ 08043-9648 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 06/03/2019 |