Canellos, George Peter

Canellos, George Peter is an individual health care provider with primary practice located at 100 Blossom St Cox 460, Boston MA 02114-2606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Canellos, George Peter can be contacted via phone (617) 726-8314.

Contact Information

Primary practice address
100 Blossom St Cox 460 Boston MA 02114-2606
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27223 Massachusetts
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 27223 Massachusetts

Profile Details

NPI number 1114908027
LBN Legal business name Canellos, George Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114908027 NPPES
Massachusetts MEDICAID 2046377
Massachusetts Other M08957
Massachusetts Other 764171

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