Gary Elliot Raffel D.o., F.a.c.p. | |
5411 W Cedar Ln Suite 202a Bethesda MD 20814-1516 | |
(301) 530-1150 | |
(301) 260-2838 |
Full Name | Gary Elliot Raffel D.o., F.a.c.p. |
---|---|
Speciality | Internal Medicine |
Location | 5411 W Cedar Ln, Bethesda, Maryland |
Authorized Official Name and Position | Gary Elliot Raffel (SOLE PROPRIATOR) |
Authorized Official Contact | 3015709700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gary Elliot Raffel D.o., F.a.c.p. Po Box 157 Ashton MD 20861-0157 Ph: (301) 570-9700 | Gary Elliot Raffel D.o., F.a.c.p. 5411 W Cedar Ln Suite 202a Bethesda MD 20814-1516 Ph: (301) 530-1150 |
NPI Number | 1972702884 |
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Provider Enumeration Date | 07/12/2007 |
Last Update Date | 07/12/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972702884 | NPI | - | NPPES |
1396747432 | Other | NATIONAL PROVIDER IDENTIF | |
5998787400 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | H0045839 (Maryland) | Primary |
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