Individual
DR. STEPHEN ALAN RAPHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 2ND AVE, SUITE 301, COLLEGEVILLE, PA 19426-3625
(610) 409-8830
Mailing address
409 2ND AVE, SUITE 301, COLLEGEVILLE, PA 19426-3625
(610) 409-8830
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
04068142
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048146000
IBC PROVIDER ID
PA
01
—
087602
HIGHMARK BC PROVIDER ID
PA
Enumeration date
08/11/2005
Last updated
07/08/2007
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