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Individual

DR. GORDON DAVID RAPHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4915 AUBURN AVE, SUITE 202, BETHESDA, MD 20814-2636
(301) 907-3442
(301) 907-6835
Mailing address
4915 AUBURN AVE, SUITE 202, BETHESDA, MD 20814-2636
(301) 907-3442
(301) 907-6835

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D28918
MD

Other

Enumeration date
02/26/2007
Last updated
07/08/2007
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