George L Provost, MD
George L Provost, MD is a Family Practice in Allentown, Pennsylvania. Graduated from Temple University School of Medicine in 1977, 49 years ago. Practices with Star Community Health Inc, a 58-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 49
- Trained at
- Temple University School of Medicine
- Licensed in
- PA
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1210 Hanover AveAllentown, PA 18109-2017
Phone: (610) 437-6490
Fax: (610) 437-4151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence MD020842E (PA) |
|---|
Record details
| NPI number | 1285620641 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 21, 2005 |
| Last updated in NPPES | September 10, 2010 |
| Mailing address | 421 W Chew St, Allentown, PA 18102-3406 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1977 (49 years in practice) |
| Group practice | Star Community Health Inc — 58 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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