Brian Raphael

NPI 1205121324 - Internal Medicine - 207R00000X

NPI Details
NPI 1205121324
Gender Male
Enumeration Date 06/16/2011
Last Updated 10/27/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
1244 BOYLSTON ST
CHESTNUT HILL MA, 02467-2116, US
Phone (315) 278-5049
Fax
Business Location
1244 BOYLSTON ST
CHESTNUT HILL MA, 02467-2116, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MT199988
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According to our database, Brian Raphael NPI is 1205121324, taxonomy code is 207R00000X and license number is MT199988, license state is located at Pennsylvania. Brian Raphael physically located at 1244 Boylston St, Chestnut Hill MA, 02467-2116. NPI Number Brian Raphael has the Individual type.

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1205121324 NPI number is provided on an as is basis without warranty of any kind. 1205121324 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Raphael are for informational purposes only.