Individual
IRA G ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
027439
CT
207L00000X
Anesthesiology Physician
Primary
84690
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001274398
—
CT
01
—
48F541
EMPIRE BC
NY
01
—
P00916913
MEDICARE RAILROAD
VA
Enumeration date
05/13/2006
Last updated
05/03/2021
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