# THE HOSPITAL OF SAINT RAPHAEL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE HOSPITAL OF SAINT RAPHAEL
- **Other names:** Saint Raphael's Occupational Health Plus
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376815274
- **Legal business name:** THE HOSPITAL OF SAINT RAPHAEL
- **Authorized official:** MISS LINDA PETTINE R.P.T. (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (203) 789-6079

## Contact information

- **Practice address:** 175 SHERMAN AVE, 5TH FL., NEW HAVEN, CT 06511-4357
- **Practice address phone:** (203) 789-3392
- **Mailing address:** 84 N MAIN ST, SUITE 200, BRANFORD, CT 06405-3061
- **Mailing address phone:** (203) 789-3666
- **Mailing address fax:** (203) 867-5253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2012
- **Last updated:** 02/08/2012
