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Individual
RAISA W GAINES
Active
Individual
RAISA W GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56203
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000000373
HPHC
MA
05
—
3009980
—
MA
01
—
709421
TUFTS
MA
01
—
J05566
BS
MA
Enumeration date
07/11/2006
Last updated
05/15/2013
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