Provider Demographics
NPI:1154310381
Name:DYER, GEORGE SINCLAIR (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:SINCLAIR
Last Name:DYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:375 BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6007
Mailing Address - Country:US
Mailing Address - Phone:185-730-7086
Mailing Address - Fax:857-307-0896
Practice Address - Street 1:75 FRANCIS ST, DEPT OF ORTHOPEDIC SURGERY
Practice Address - Street 2:BIGHAM AND WOMEN'S HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-6607
Practice Address - Fax:617-730-2815
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA227094207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110077187AMedicaid
MA000165601Medicare PIN