Dr. Samuil D. Rafailov, D.O.
Surgery in Newton, NJ. Individual provider (NPI-1).
NPI number1306107644
StatusActive
Last updated in NPPESAug 23, 2018
Details
- NPI
- 1306107644
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samuil D. Rafailov
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2012
- Last updated
- Aug 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 25MB10425100 | NJ | Yes |
| 208600000X | Surgery | OP60738550 | WA | |
| 208600000X | Surgery | 271919 | NY |
Practice location
183 High St Ste 1500Newton, NJ 07860
Phone 973-383-6244 · Fax 973-383-0573
Mailing address
Po Box 416457Boston, MA 02241-6457
Phone 844-362-1735 · Fax 973-290-7495
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