Individual
DR. THEODORE RAFAEL
Active
Individual
DR. THEODORE RAFAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
217476
NY
2085R0202X
Diagnostic Radiology Physician
Primary
217476
NY
Other
Enumeration date
05/27/2005
Last updated
06/13/2013
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