Bueno, Raphael

Bueno, Raphael is an individual health care provider with primary practice located at 75 Francis St Ca 273, Boston MA 02115-6110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bueno, Raphael can be contacted via phone (617) 732-8148.

Contact Information

Primary practice address
75 Francis St Ca 273 Boston MA 02115-6110
Phone: (617) 732-8148
Fax: (617) 582-6171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 58728 Massachusetts

Profile Details

NPI number 1982695540
LBN Legal business name Bueno, Raphael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Aug 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982695540 NPPES
Massachusetts MEDICAID 3030393

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