Provider Demographics
NPI:1558359752
Name:LAMPERT, RACHEL J (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:J
Last Name:LAMPERT
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9805
Mailing Address - Street 2:300 GEORGE ST 6TH FLOOR
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06536-0805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:789 HOWARD AVE
Practice Address - Street 2:DANA BUILDING -3 RD FLOOR
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1304
Practice Address - Country:US
Practice Address - Phone:203-737-4068
Practice Address - Fax:203-785-7144
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2008-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT033360207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001333608Medicaid
CT060001155Medicare ID - Type Unspecified
CT001333608Medicaid