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Organization

RAPHAEL OSHEROFF, M.D, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAPHAEL J OSHEROFF M.D. (MEDICAL DIRECTOR)
(973) 928-2777
Entity
Organization

Contact information

Practice address
385 LAKEVIEW AVE, CLIFTON, NJ 07011-4035
(973) 928-2777
(973) 928-2776
Mailing address
2 HAMILTON AVE, CRANFORD, NJ 07016-2427
(973) 928-2777
(973) 928-2776

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
175535-1
NY
208D00000X
General Practice Physician
Primary
25MA06156400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6919600
NJ
Enumeration date
04/23/2007
Last updated
03/07/2023
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