Individual
RACHEL MARINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3202
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23.006788
CT
363A00000X
Physician Assistant
OA006381
PA
363AM0700X
Medical Physician Assistant
MA064360
PA
Other
Enumeration date
03/15/2022
Last updated
12/20/2024
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