DAVID P ST GEORGE PA - NPI 1609150937 - Physician Assistant in Boston, MA

Q: What is David St George's NPI number?

The NPI number for David St George is 1609150937. It was assigned to this individual provider in the NPPES registry on October 5, 2011.

Q: What is David St George's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for David St George was last updated on September 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About David P St George Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID P ST GEORGE PA (NPI 1609150937) is an individual medical provider in Boston, Massachusetts, licensed in Massachusetts (PA4273) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1609150937

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameDAVID P ST GEORGECredential: PA

Location Address1340 BOYLSTON ST, ANSIN BUILDINGBoston, MA 02215-4302

Mailing Address1340 Boylston St, Ansin BuildingBoston, MA 02215-4302 · (617) 267-0900 · Fax (617) 247-3912

Phone(617) 267-0900

Fax(617) 247-3912

Sole ProprietorNo

Enumeration DateOctober 5, 2011

Last NPPES UpdateSeptember 26, 2013

✔ NPI 1609150937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MA · PA4273

1340 BOYLSTON ST, Boston, MA 02215

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FENWAY COMMUNITY HEALTH CENTER, INC

Clinic/Center (Federally Qualified Health Center (FQHC))