Individual
RACHEL R OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 PARK STREET, SOUTH PAVILLION 7TH FLOOR - 74, NEW HAVEN, CT 06504-8901
(203) 688-4242
Mailing address
333 CEDAR ST # 4100, NEW HAVEN, CT 06510-3206
(203) 785-6668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301112464
MI
207R00000X
Internal Medicine Physician
51970
CT
208000000X
Pediatrics Physician
Primary
4301112464
MI
208000000X
Pediatrics Physician
51970
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010051970CT02
ANTHEM BCBS CT
CT
01
—
051970
CONNECTICARE
CT
01
—
1186696
USA
CT
01
—
4936547
AETNA
CT
01
—
D400089901
RR MEDICARE
CT
Enumeration date
04/24/2009
Last updated
06/17/2019
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