Provider Demographics
NPI:1184915860
Name:SCOTT, RACHEL BENEDETTO (DO)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:BENEDETTO
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6 NORTHWESTERN DRIVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002
Mailing Address - Country:US
Mailing Address - Phone:860-929-7974
Mailing Address - Fax:860-243-6599
Practice Address - Street 1:6 NORTHWESTERN DRIVE
Practice Address - Street 2:SUITE 305
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002
Practice Address - Country:US
Practice Address - Phone:860-929-7974
Practice Address - Fax:860-243-6599
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT60082208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery