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Sean Raphaely
NPI 1891184990 · on the registry since 2015
Practice
- Address
- 4007 Fallstaff Rd
Baltimore, MD 21215 - Phone
- (443) 766-9626
Additional practice sites
- 3619 Glengyle Ave, Baltimore, MD
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 174400000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland