Provider Demographics
NPI:1306937859
Name:RATHBONE, ISABEL S (MD)
Entity type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:S
Last Name:RATHBONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ISABEL
Other - Middle Name:GISELDA
Other - Last Name:SERVICI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 PECK ROAD
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:CT
Mailing Address - Zip Code:06524
Mailing Address - Country:US
Mailing Address - Phone:203-393-9313
Mailing Address - Fax:
Practice Address - Street 1:VA CONNECTICUT/116A
Practice Address - Street 2:950 CAMPBELL AVENUE
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516
Practice Address - Country:US
Practice Address - Phone:203-932-5711
Practice Address - Fax:203-937-4791
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT240242084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine