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Individual

MARC I RAPHAELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
525K EAST MARKET ST, LEESBURG, VA 20176
(703) 771-0274
(703) 771-0276
Mailing address
525K EAST MARKET ST, BOX 326, LEESBURG, VA 20176
(703) 771-0274
(703) 771-0276

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
0101042614
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
14958
WV
207RS0012X
Sleep Medicine (Internal Medicine) Physician
D0026660
MD
2084N0400X
Neurology Physician
0101042614
VA
2084N0400X
Neurology Physician
2084N0400X
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13908 1300
MD
Enumeration date
02/13/2006
Last updated
12/10/2012
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