Individual
JOSEPH P. RAFFERTY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-3608
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75115
MA
208D00000X
General Practice Physician
75115
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075115
TUFTS HEALTH PLAN
MA
05
—
3087735
—
MA
01
—
713754
HARVARD PILGRIM
MA
01
—
J11997
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/29/2005
Last updated
05/18/2023
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