Individual
DR. COLLEEN MARIE RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 UNIVERSITY DRIVE, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 854, MC A410, HERSHEY, PA 17033-0854
(717) 531-5995
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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