| Organization Name: | RAPHAEL OSHEROFF, M.D, P.A. |
| NPI Number: | 1891913141 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAPHAEL J OSHEROFF (MEDICAL DIRECTOR) |
| Mailing Address: | 385 Lakeview Ave Clifton |
| State: | NJ US |
| Postal Code: | 070114035 |
| Phone Number: | 9739282777 |
| Fax Number: | 9739282776 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 175535-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |