| Saint Raphael Faculty Physicians | |
|
1450 Chapel St New Haven CT 06511-4405 | |
| (203) 789-5946 | |
| (203) 867-5287 |
| Full Name | Saint Raphael Faculty Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 1450 Chapel St, New Haven, Connecticut |
| Authorized Official Name and Position | Lawrence Mcmanus (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2037894059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Raphael Faculty Physicians Po Box 1951 Brattleboro VT 05302-1951 Ph: (508) 595-0531 | Saint Raphael Faculty Physicians 1450 Chapel St New Haven CT 06511-4405 Ph: (203) 789-5946 |
| NPI Number | 1932138138 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 04/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932138138 | NPI | - | NPPES |
| 008002476 | Medicaid | CT | |
| 008002619 | Medicaid | CT | |
| 008003155 | Medicaid | CT | |
| 008002615 | Medicaid | CT | |
| 008002212 | Medicaid | CT |
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