Organization
GARY ELLIOT RAFFEL D.O., F.A.C.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ELLIOT RAFFEL D.O. (SOLE PROPRIATOR)
(301) 570-9700
Entity
Organization
Contact information
Practice address
5411 W CEDAR LN, SUITE 202A, BETHESDA, MD 20814-1516
(301) 530-1150
(301) 260-2838
Mailing address
PO BOX 157, ASHTON, MD 20861-0157
(301) 570-9700
(301) 260-2838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H0045839
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396747432
NATIONAL PROVIDER IDENTIF
—
05
—
5998787400
—
MD
Enumeration date
07/12/2007
Last updated
07/12/2007
Update your record
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