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1144229006

NPI Code Detail

MEDICARE: DR. JODY GERARD M.D.

MEDICARE: DR. JODY GERARD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	200200903	NC
2	207P00000X	Emergency Medicine Physician	48064	CT
3	207P00000X	Emergency Medicine Physician	264672	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	E3148	OTHER	NC	MEDCOST #
3	133FU	OTHER	NC	BCBS OF NC GROUP #015CK
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144229006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JODY GERARD M.D.

Provider Business Mailing Address
First Line	:	8 WRIGHT ST STE 107
Second Line	:
City	:	WESTPORT
State	:	CT
Zip	:	06880-3114
Country	:	US
Telephone Number	:	203-895-2355
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 WRIGHT ST STE 107
Second Line	:
City	:	WESTPORT
State	:	CT
Zip	:	06880-3114
Country	:	US
Telephone Number	:	203-895-2355
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	07/23/2020

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Directions to “ DR. JODY GERARD M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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