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Individual

RAPHAEL M BIBIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
90 MADISON ST STE 600, WORCESTER, MA 01608-2030
(508) 847-6864
(508) 792-3803
Mailing address
90 MADISON ST STE 600, WORCESTER, MA 01608-2030
(508) 847-6864
(508) 792-3803

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2263139
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2263139
MA

Other

Enumeration date
03/30/2019
Last updated
04/05/2022
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