Individual
DR. JONELLE A RAPHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
208 MILL RD, FAIRHAVEN, MA 02719-5208
(508) 973-2224
(508) 973-0394
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
253492
MA
207RP1001X
Pulmonary Disease Physician
253492
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110099022A
—
MA
05
—
JR97162
—
RI
Enumeration date
07/10/2008
Last updated
01/22/2025
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