Individual
REBECCA NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
95 SCOVILL ST, 3RD FLOOR, WATERBURY, CT 06706-1113
(203) 709-6000
Mailing address
56 FRANKLIN ST, 3RD FLOOR, WATERBURY, CT 06706-1253
(203) 709-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
043504
CT
208000000X
Pediatrics Physician
043504
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001435040
—
CT
01
—
010043504CT02
ANTHEM BCBS CT
CT
01
—
043504
CONNECTICARE
CT
01
—
24-23956
AMERICHOICE
CT
01
—
246269
WELLCARE
CT
01
—
2V6984
HEALTHNET/COMMERCIAL
CT
01
—
3957856/7909676
AETNA
CT
01
—
974022
USA
CT
01
—
P3632834
OXFORD
CT
01
—
PENDING
RR MEDICARE
CT
Enumeration date
06/25/2006
Last updated
11/29/2023
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