Provider Demographics
NPI:1366409450
Name:SZAKACS, GAIL M (MD)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:M
Last Name:SZAKACS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 DANBURY ROAD
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897
Mailing Address - Country:US
Mailing Address - Phone:203-834-2813
Mailing Address - Fax:203-834-2831
Practice Address - Street 1:150 DANBURY ROAD
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897
Practice Address - Country:US
Practice Address - Phone:203-834-2813
Practice Address - Fax:203-834-2831
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT043812207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001438127Medicaid
CTI50433Medicare UPIN
CT110009827Medicare ID - Type Unspecified