Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 026850 | CT |
NPI | 1093726127 |
---|---|
Provider Name | Gerald B Rakos |
First Address | Stamford, CT 06902-3628 |
Second Address | Stamford, CT 06902-3628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
268500 | CONNECTICARE (01) | CT |
2V6675 | HEALTH NET (01) | CT |
4112684 | AETNA - NON-PAR ID (01) | CT |
ANC531 | OXFORD HEALTH PLAN (01) | CT |
TIN | GREAT WEST (01) | CT |
TIN | UNITED HEALTHCARE (01) | CT |