Provider Demographics
NPI:1902962863
Name:VAIDA, GEORGE ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ARTHUR
Last Name:VAIDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:95 CHAPEL ST
Mailing Address - Street 2:ANNEX
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3155
Mailing Address - Country:US
Mailing Address - Phone:781-769-9045
Mailing Address - Fax:781-769-0420
Practice Address - Street 1:95 CHAPEL ST
Practice Address - Street 2:ANNEX
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3155
Practice Address - Country:US
Practice Address - Phone:781-769-9045
Practice Address - Fax:781-769-0420
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA45948207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0140775Medicaid
MAA40051Medicare UPIN
MA0140775Medicaid