Provider Demographics
NPI:1750197299
Name:RAWLINGS-GREEN, JULIA ABIGAIL (EMT-P)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ABIGAIL
Last Name:RAWLINGS-GREEN
Suffix:
Gender:F
Credentials:EMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 LOCUST AVE APT 523
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-4749
Mailing Address - Country:US
Mailing Address - Phone:203-524-4874
Mailing Address - Fax:
Practice Address - Street 1:335 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06607-1013
Practice Address - Country:US
Practice Address - Phone:203-332-4080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003519146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic