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NPI Code Detail

MEDICARE: SUSAN RABINOWE MD

MEDICARE: SUSAN RABINOWE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician033127CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447253422
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN RABINOWE MD
Provider Business Mailing Address
First Line : 1000 ASYLUM AVE
Second Line : STE 2109A
City : HARTFORD
State : CT
Zip : 06105-1719
Country : US
Telephone Number : 860-714-6581
Fax Number : 860-714-8311
Provider Business Practice Location Address
First Line : 94 WOODLAND ST
Second Line :
City : HARTFORD
State : CT
Zip : 06105-1217
Country : US
Telephone Number : 860-714-4680
Fax Number : 860-714-8047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 08/04/2010

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Directions to “ SUSAN RABINOWE MD” Practice Location

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