Individual
DR. RAPHAEL FARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 KEARNEY CIR, MANCHESTER, NH 03104-1816
(603) 623-3013
(603) 627-0620
Mailing address
300 KEARNEY CIR, MANCHESTER, NH 03104-1816
(603) 623-3013
(603) 627-0620
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
7079
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000355
—
NH
Enumeration date
11/04/2005
Last updated
07/09/2007
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