Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 230023 | MA |
NPI | 1063517456 |
---|---|
Provider Name | George J Raukar |
First Address | Fall River, MA 02721 |
Second Address | Fall River, MA 02720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 20/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2130262 | (05) | MA |
F45595 | (02) |