Individual
DR. RACQUEL DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
28 CRESCENT ST, MIDDLESEX HOSPITAL DBA MIDDLESEX HOSPITAL PHYSICIAN SER, MIDDLETOWN, CT 06457-3654
(860) 358-4720
(860) 358-6271
Mailing address
28 CRESCENT ST, MIDDLESEX HOSPITAL DBA MIDDLESEX HOSPITAL PHYSICIAN SER, MIDDLETOWN, CT 06457-3654
(860) 358-4720
(860) 358-6271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
046061
CT
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
046061
CT
208M00000X
Hospitalist Physician
CT 046061
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046061
CT LICENSE
CT
Enumeration date
12/18/2007
Last updated
05/10/2017
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