George J Cuchural Jr., M.D.

Individual provider Active NPI Specialist · South Weymouth, MA

NPI 1124137484 · NPPES record last updated Apr 29, 2013

Key facts

NPI
1124137484
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
53117 (MA)
Practice address
851 Main St
Suite 14
South Weymouth, MA 02190-1612
Phone
(781) 331-9300
Fax
(791) 331-8592
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 53117 MA Yes

Addresses

Primary practice location

851 Main St
Suite 14
South Weymouth, MA 02190-1612

Mailing address

851 Main St
Suite 14
South Weymouth, MA 02190-1612
Phone (781) 331-9300

Other identifiers

IdentifierTypeStateIssuer
705619OtherMATUFTS HEALTH PLAN
J04256OtherMABCBS
J04256OtherMAMEDICARE
6626OtherMAHARVARD PILGRIM HEALTH
3008444MedicaidMA
79533OtherMAUS HEALTH CARE

Other providers in South Weymouth, MA

All providers in South Weymouth, MA · Specialist in Massachusetts

Sources for this page

Verify at the official NPI Registry.