Provider Demographics
NPI:1073003661
Name:WHITE, RACHEL CLARE (MBCHB, BAO)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:CLARE
Last Name:WHITE
Suffix:
Gender:F
Credentials:MBCHB, BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BAILEY DR
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2376
Mailing Address - Country:US
Mailing Address - Phone:475-298-6140
Mailing Address - Fax:
Practice Address - Street 1:GREATER NEW HAVEN OBGYN
Practice Address - Street 2:46 PRINCE ST STE 207
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519
Practice Address - Country:US
Practice Address - Phone:203-688-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-18
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CT72651207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program