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Individual

DR. ROBERT IAN RAPHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3505 BROADWAY FL 14, OAKLAND, CA 94611-5798
(510) 752-1114
Mailing address
3505 BROADWAY FL 14, OAKLAND, CA 94611-5798
(510) 752-1114

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A81318
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A813180
CA
Enumeration date
01/03/2007
Last updated
11/08/2024
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