Individual
HERBERT RAKATANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44 W RIVER ST, PROVIDENCE, RI 02904-2609
(401) 274-4800
(401) 454-0410
Mailing address
44 W RIVER ST, PROVIDENCE, RI 02904-2609
(401) 274-4800
(401) 454-0410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3826
RI
207RG0100X
Gastroenterology Physician
Primary
3826
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1836
BLUE CHIP
RI
05
—
7000100
—
RI
Enumeration date
10/18/2005
Last updated
03/17/2008
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