Individual
DR. CHARLES EDWARD RAFTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1579 STRAITS TPKE, MIDDLEBURY, CT 06762-1835
(203) 758-2003
(203) 758-2144
Mailing address
1579 STRAITS TPKE, MIDDLEBURY, CT 06762-1835
(203) 758-2003
(203) 758-2144
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
041372
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00357466
MEDICARE RAILROAD
CT
Enumeration date
07/20/2005
Last updated
07/01/2021
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