# RAPHAEL OSHEROFF, M.D, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891913141
- **Authorized official:** DR. RAPHAEL J OSHEROFF M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (973) 928-2777

## Contact information

- **Practice address:** 385 LAKEVIEW AVE, CLIFTON, NJ 07011-4035
- **Practice address phone:** (973) 928-2777
- **Practice address fax:** (973) 928-2776
- **Mailing address:** 2 HAMILTON AVE, CRANFORD, NJ 07016-2427
- **Mailing address phone:** (973) 928-2777
- **Mailing address fax:** (973) 928-2776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 175535-1 | NY | — |
| 208D00000X | General Practice Physician | 25MA06156400 | NJ | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6919600 | — | NJ |