Individual
MR. RAFAEL IVAN GRACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 WASHINGTON ST, CCBC, TAUNTON, MA 02780-3960
(508) 823-5400
(508) 880-7114
Mailing address
301 LITTLE POND COUNTY RD, CUMBERLAND, RI 02864-2810
(401) 787-7798
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
57974
MA
Other
Enumeration date
07/14/2006
Last updated
12/15/2015
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