Raftery, Kevin Barry
Raftery, Kevin Barry is an individual health care provider with primary practice located at Lahey Clinic Dept Of Vascular Surgery 41 Mall Road, Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Raftery, Kevin Barry can be contacted via phone (781) 744-8574.Contact Information
Primary practice address
Lahey Clinic Dept Of Vascular Surgery 41 Mall Road
Burlington MA 01805-0001
Phone: (781) 744-8574
Fax: (781) 744-5744
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 72610 | Massachusetts |
Profile Details
NPI number | 1548325046 |
---|---|
LBN Legal business name | Raftery, Kevin Barry |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 26th, 2006 |
Last updated | Apr 5th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548325046 | NPPES |
Massachusetts | MEDICAID | 110052732A |
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