Organization
SAINT RAPHAEL FACULTY PHYSICIANS II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD THOMAS M.D. (MEDICAL DOCTOR)
(203) 789-3464
Entity
Organization
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3464
Mailing address
1310 ALEXANDER DR, GUILFORD, CT 06437-5031
(847) 609-6661
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37688
PO BOX
CT
Enumeration date
09/19/2007
Last updated
09/19/2007
Update your record
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