Individual
DR. GWEN BARON RAPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1512, NEW YORK, NY 10029-6500
(212) 241-1852
Mailing address
1245 PARK AVE APT 17C, NEW YORK, NY 10128-1740
(212) 722-6619
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
234228
NY
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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