Individual
DR. PHILIP RUFUS RAIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 GREEN HOLLOW RD, DANIELSON, CT 06239-3509
(860) 774-1255
(860) 779-2059
Mailing address
45 GREEN HOLLOW RD, DANIELSON, CT 06239-3509
(860) 774-1255
(860) 779-2059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
031486
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001314864
—
CT
Enumeration date
12/13/2005
Last updated
01/25/2008
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