Provider Demographics
NPI:1912946419
Name:STEELE, GEORGE H (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:H
Last Name:STEELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 INDUSTRIAL BLVD
Mailing Address - Street 2:PAOLI POINTE BLDG SUITE 101
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1632
Mailing Address - Country:US
Mailing Address - Phone:610-695-9345
Mailing Address - Fax:610-695-9878
Practice Address - Street 1:11 INDUSTRIAL BLVD
Practice Address - Street 2:PAOLI POINTE BLDG SUITE 101
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1632
Practice Address - Country:US
Practice Address - Phone:610-695-9345
Practice Address - Fax:610-695-9878
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047301L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012900590003Medicaid
PA0012900590003Medicaid
PA729162Medicare ID - Type Unspecified