Provider Demographics
NPI:1497431670
Name:RAFFAELE, CHRISTINE TEAL (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:TEAL
Last Name:RAFFAELE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:TEAL
Other - Middle Name:
Other - Last Name:RAFFAELE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:350 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6617
Mailing Address - Country:US
Mailing Address - Phone:203-687-8005
Mailing Address - Fax:
Practice Address - Street 1:350 GEORGE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-6617
Practice Address - Country:US
Practice Address - Phone:203-687-8005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program