Organization
RAPHAEL NOVOGRODSKY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL NOVOGRODSKY (MD)
(914) 963-8112
Entity
Organization
Contact information
Practice address
1250 WATERS PL, BRONX, NY 10461-2720
(718) 684-4482
Mailing address
401 RUTLAND AVE, TEANECK, NJ 07666-2844
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
181941 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01497323
—
NY
Enumeration date
02/21/2007
Last updated
03/24/2014
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