| Organization Name: | RAPHA MEDICAL GROUP PC |
| NPI Number: | 1730512443 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AUGUSTINE AIGBOVBIOISE UNUIGBE (MEDICAL DIRECTOR) |
| Mailing Address: | 705 White Horse Pike Suite F4 Absecon |
| State: | NJ US |
| Postal Code: | 082011468 |
| Phone Number: | 6092416806 |
| Fax Number: | 6095735275 |
| NPI Enumeration Date: | 08/16/2013 |
| NPI Last Update Date: | 08/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |