Organization
BETHESDA ALLERGY, ASTHMA, AND RESEARCH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON DAVID RAPHAEL MD (MANAGING MEMBER)
(301) 907-3442
Entity
Organization
Contact information
Practice address
4915 AUBURN AVE, SUITE 202, BETHESDA, MD 20814-2636
(301) 907-3442
(301) 907-6835
Mailing address
4915 AUBURN AVE, SUITE 202, BETHESDA, MD 20814-2636
(301) 907-3442
(301) 907-6835
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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