Provider Demographics
NPI:1043429475
Name:RATHBONE, RICHARD RODION (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:RODION
Last Name:RATHBONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RODION
Other - Middle Name:
Other - Last Name:RATHBONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:75 PECK RD
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:CT
Mailing Address - Zip Code:06524-3343
Mailing Address - Country:US
Mailing Address - Phone:203-393-9313
Mailing Address - Fax:
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:YALE-NEW HAVEN HOSPITAL
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06504-8900
Practice Address - Country:US
Practice Address - Phone:203-688-2439
Practice Address - Fax:203-688-5103
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT024868207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine