Individual
JAMES RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, WILLOWCREST ROAD 4TH FLOOR, PHILADELPHIA, PA 19141-3018
(215) 456-7900
(215) 456-5948
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-8735
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD049979L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001493768
—
PA
Enumeration date
03/09/2006
Last updated
12/19/2012
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