Individual
DR. JANICE RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2123 AUBURN AVE, STE. 524, CINCINNATI, OH 45219-2906
(513) 929-0104
(513) 929-4369
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5506
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
35-059681
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0781159
—
OH
Enumeration date
03/09/2006
Last updated
02/22/2018
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