Individual
DR. SAMUIL D. RAFAILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
183 HIGH ST STE 1500, NEWTON, NJ 07860
(973) 383-6244
(973) 383-0573
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB10425100
NJ
208600000X
Surgery Physician
271919
NY
208600000X
Surgery Physician
OP60738550
WA
Other
Enumeration date
06/04/2012
Last updated
08/23/2018
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