Individual
DR. JONATHAN MATTHEW RAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H., M.A.
Contact information
Practice address
189 STORRS RD, NATCHAUG HOSPITAL, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
(860) 456-0164
Mailing address
189 STORRS RD, NATCHAUG HOSPITAL, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
(860) 456-0164
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
239256
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
050899
CT
2084P0804X
Child & Adolescent Psychiatry Physician
239256
MA
Other
Enumeration date
05/20/2008
Last updated
09/22/2022
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