Individual
DR. ELIZABETH A RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT STREET, ACC 219 RADIOLOGICAL ASSOCIATES, BOSTON, MA 02114-2696
(617) 726-3093
(617) 726-1074
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-3093
(617) 726-1074
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
79573
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079573
TUFTS HEALTH PLAN
MA
05
—
3144640
—
MA
01
—
J31563
BCBS MA
MA
Enumeration date
07/07/2006
Last updated
08/21/2012
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