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Individual

GERALD B RAKOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-7085
Mailing address
30 SHELBURNE RD, STAMFORD, CT 06902-3628

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
026850
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
268500
CONNECTICARE
CT
01
2V6675
HEALTH NET
CT
01
4112684
AETNA - NON-PAR ID
CT
01
ANC531
OXFORD HEALTH PLAN
CT
01
TIN
GREAT WEST
CT
Enumeration date
08/11/2006
Last updated
07/08/2007
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