Provider Demographics
NPI:1033105887
Name:RAKO, JULES (MD)
Entity type:Individual
Prefix:DR
First Name:JULES
Middle Name:
Last Name:RAKO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 NORWOOD PARK S STE 110
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4633
Mailing Address - Country:US
Mailing Address - Phone:781-769-4090
Mailing Address - Fax:781-440-9142
Practice Address - Street 1:115 NORWOOD PARK S STE 110
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4633
Practice Address - Country:US
Practice Address - Phone:781-769-4090
Practice Address - Fax:781-440-9142
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-26
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA28643208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
C16038OtherBLUE CROSS
92110OtherAETNA
20013OtherHPHC
028643OtherTUFTS
21234OtherBMC HEALTHNET
MA0171328Medicaid
28870OtherFALLON
B10099301OtherCIGNA
C16038OtherBLUE CROSS