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Organization
BETHESDA ALLERGY, ASTHMA, AND RESEARCH CENTER, LLC
Active
Organization
BETHESDA ALLERGY, ASTHMA, AND RESEARCH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON DAVID RAPHAEL MD (MANAGING MEMBER)
(301) 907-3442
Entity
Organization
Contact information
Practice address
4915 AUBURN AVE, SUITE 202, BETHESDA, MD 20814-2636
(301) 907-3442
(301) 907-6835
Mailing address
4915 AUBURN AVE, SUITE 202, BETHESDA, MD 20814-2636
(301) 907-3442
(301) 907-6835
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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