# DR. JOHN W. RAFALKO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477806438
- **Gender:** Man
- **Credential:** ED.D., PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 1016380 PA-C NCCPA\# | GA | Yes |
| 363A00000X | Physician Assistant | 7937253 | NY | — |
| 363A00000X | Physician Assistant | C0001101 | MD | — |

## Other

- **Enumeration date:** 10/16/2012
- **Last updated:** 10/16/2012