Provider Demographics
NPI:1992781165
Name:VIOLIN, GEORGE A (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:A
Last Name:VIOLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:95 CHAPEL ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3155
Mailing Address - Country:US
Mailing Address - Phone:781-762-9018
Mailing Address - Fax:781-762-0118
Practice Address - Street 1:95 CHAPEL ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3155
Practice Address - Country:US
Practice Address - Phone:781-762-9018
Practice Address - Fax:781-762-0118
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA32064207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA180011812OtherRAILROAD MEDICARE
MA92840OtherAETNA/USHC
MA6014029-002OtherCIGNA-PAL
MA15011OtherHARVARD PILGRIM HEALTH CA
MA2077485Medicaid
MA08-00278OtherEVERCARE
MA08-02033OtherUNITED HEALTH CARE
MA0003390OtherNEIGHBORHOOD HEALTH PLAN
MA180011812OtherRAILROAD MEDICARE
MA92840OtherAETNA/USHC