Individual
JASON RAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4161
(401) 767-5441
Mailing address
450 CLINTON ST, WOONSOCKET, RI 02895-3207
(401) 767-4161
(401) 767-5441
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD15957
RI
2084P0800X
Psychiatry Physician
MD15957
RI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD15957
RI
Other
Enumeration date
05/24/2012
Last updated
07/21/2022
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