Doctor Name: | DR. RACHEL RAPHAEL |
NPI Number: | 1366641169 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | R140-720-79-961-0 |
Business Practice Address: | 3 Northwestern Dr Bloomfield, CT - 060023465 |
Business Phone Number: | 8607261414 |
Business Fax Number: | |
Mailing Address: | 555 Asylum Ave, Apt #101 HARTFORD |
State: | CT |
Postal Code: | 061053800 |
Phone Number: | 8608186622 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 07/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | R140-720-79-961-0 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |