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General NPI Number Information
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NPI Number | 1023252715
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Entity Type | Individual
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Provider Name | RACHEL R OSBORN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 1 PARK STREET SOUTH PAVILLION 7TH FLOOR - 74
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City | NEW HAVEN
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State | CT
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Zip | 06504-8901
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Country | US
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Telephone | 203-688-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 333 CEDAR ST # 4100
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City | NEW HAVEN
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State | CT
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Zip | 06510-3206
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Country | US
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Telephone | 203-785-6668
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 51970
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301112464
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 51970
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301112464
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License Number State | MI
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