Rafferty, Colleen Marie

Rafferty, Colleen Marie is an individual health care provider with primary practice located at 500 University Drive , Hershey PA 17033-2360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Rafferty, Colleen Marie can be contacted via phone (800) 243-1455.

Contact Information

Primary practice address
500 University Drive Hershey PA 17033-2360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD418876 Pennsylvania

Profile Details

NPI number 1538143649
LBN Legal business name Rafferty, Colleen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated May 19th, 2008 - about 18 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 1538143649 NPPES
Massachusetts Other 210507 TUFTS HEALTH PLAN
Massachusetts Other J25118 TUFTS HEALTH PLAN
Massachusetts MEDICAID 0196631 TUFTS HEALTH PLAN

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