Basic Information
Provider Information
NPI: 1801084660
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARISTOTELOUS
FirstName: GEORGINA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: NASR
OtherFirstName: GEORGINA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 2829 EUCLID AVE
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441152413
CountryCode: US
TelephoneNumber: 2163573131
FaxNumber: 2163573217
Practice Location
Address1: 145 N 6TH ST FL 2
Address2:  
City: READING
State: PA
PostalCode: 196013096
CountryCode: US
TelephoneNumber: 6102084559
FaxNumber: 6103782441
Other Information
ProviderEnumerationDate: 10/05/2007
LastUpdateDate: 06/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD456109PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RI0200XMD456109PAN Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
207RI0200X35139993OHY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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