Individual
RAISA W GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33 EDGELL RD, FRAMINGHAM, MA 01701
(508) 620-6615
(508) 879-1597
Mailing address
33 EDGELL RD, FRAMINGHAM, MA 01701-4833
(508) 620-6615
(508) 879-1597
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56203
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000000373
HPHC
MA
05
—
3009980
—
MA
01
—
709421
TUFTS
MA
01
—
J05566
BS
MA
Enumeration date
07/11/2006
Last updated
05/15/2013
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