Organization
SAINT RAPHAEL HEALTHCARE SYSTEM AFFILIATED PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES HOLT IV (EXECUTIVE DIRECTOR APSR)
(203) 789-6283
Entity
Organization
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-6283
Mailing address
6880 W SNOWVILLE RD, SUITE 210, BRECKSVILLE, OH 44141-3254
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
03/30/2012
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