Raffalli, Peter C

Raffalli, Peter C is an individual health care provider with primary practice located at 300 Longwood Ave Fegan 11, Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Raffalli, Peter C can be contacted via phone (617) 355-6388.

Contact Information

Primary practice address
300 Longwood Ave Fegan 11 Boston MA 02115-5724
Phone: (617) 355-6388
Fax: (617) 730-0284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 80688 Massachusetts

Profile Details

NPI number 1194744870
LBN Legal business name Raffalli, Peter C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 24th, 2012 - about 12 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 1194744870 NPPES
Massachusetts MEDICAID 110055834A

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