Individual
RAFAEL GERARDO MAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 E PUTNAM AVE STE AB, COS COB, CT 06807-2600
(888) 501-5274
(646) 304-0404
Mailing address
40 E PUTNAM AVE STE AB, COS COB, CT 06807-2600
(347) 767-6653
(646) 304-0404
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
239015
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239015
NYS LICENSE
NY
01
—
54185
CT STATE LICENSE
CT
Enumeration date
07/02/2007
Last updated
09/11/2025
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