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Individual

RAFAEL REVOL NUNEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 W GIRARD AVENUE, PHILADELPHIA, PA 19130
(215) 787-9000
(215) 787-2115
Mailing address
801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
(215) 787-2000
(215) 787-2115

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD019210E
PA

Other

Enumeration date
08/24/2005
Last updated
07/08/2007
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