Individual
DR. JACK A RAGHEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
10 CENTER DR, MSC-1857, BETHESDA, MD 20892-0001
(301) 435-4566
Mailing address
11702 IBSEN DR, N BETHESDA, MD 20852-3724
(301) 435-4566
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D0041560
MD
208000000X
Pediatrics Physician
D0041560
MD
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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