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Individual

DR. COLLEEN MARIE RAFFERTY

Active
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Individual

DR. COLLEEN MARIE RAFFERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD418876
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0196631
MA
01
210507
TUFTS HEALTH PLAN
MA
01
J25118
BCBS MA
MA
Enumeration date
12/01/2005
Last updated
05/19/2008
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