Basic Information
| Provider Information | |||||||||
| NPI: | 1578539755 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AUFRANC | ||||||||
| FirstName: | ST GEORGE | ||||||||
| MiddleName: | TUCKER | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2200 | ||||||||
| Address2: | |||||||||
| City: | AMHERST | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030314200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036739411 | ||||||||
| FaxNumber: | 6036739899 | ||||||||
| Practice Location | |||||||||
| Address1: | 830 BOYLSTON ST | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | BROOKLINE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024672503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177392003 | ||||||||
| FaxNumber: | 6177340242 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 32245 | MA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 032245 | 01 | MA | TUFTS | OTHER | 2504783 | 01 | MA | AETNA | OTHER | 172451 | 01 | MA | HARVARD PILGRIM | OTHER | M08573 | 01 | MA | BLUE CROSS OF MA | OTHER | 28776 | 01 | MA | FALLON COMM HEALTH PLAN | OTHER | 2043033 | 05 | MA | MEDICAID |