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Individual

RAPHAEL I. KIEVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1351 MAIN ST, REAR, BROCKTON, MA 02301-7153
(508) 587-4112
(508) 583-6810
Mailing address
1351 MAIN ST REAR, BROCKTON, MA 02301-7153
(508) 587-4112
(508) 583-6810

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52349
MA
207RR0500X
Rheumatology Physician
Primary
52349
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3029042
MA
Enumeration date
02/27/2006
Last updated
02/24/2026
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