Individual
DOUGLAS GERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
536 MAIN STREET, NEW HARTFORD, CT 06057
(860) 379-7544
(860) 379-2067
Mailing address
536 MAIN STREET, NEW HARTFORD, CT 06057
(860) 379-7544
(860) 379-2067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025763
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010025763CT01
ANTHEM BLUE SHIELD
TN
01
—
0V3637
HEALTHNET
—
Enumeration date
07/26/2006
Last updated
06/21/2021
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