Individual
DR. RUSSELL C. RAPHAELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
NEMOURS CHILDRENS CLINIC, P.O. BOX 404112, ATLANTA, GA 30384-0001
(904) 390-3610
(904) 288-5890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C10005241
DE
207L00000X
Anesthesiology Physician
MA06427200
NJ
207L00000X
Anesthesiology Physician
MD007844E
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
C10005241
DE
207LP3000X
Pediatric Anesthesiology Physician
MA06427200
NJ
207LP3000X
Pediatric Anesthesiology Physician
MD007844E
PA
2080P0203X
Pediatric Critical Care Medicine Physician
C10005241
DE
2080P0203X
Pediatric Critical Care Medicine Physician
MA06427200
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
MD007844E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000684273
—
PA
05
—
0224006
—
NJ
05
—
1569895
—
LA
05
—
4399102
—
MD
05
—
64572621
—
KY
05
—
806298000
—
ID
05
—
956134
—
NY
05
—
P8B187880
—
TX
Enumeration date
09/29/2006
Last updated
09/11/2008
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