Rafferty, Joseph P.
Rafferty, Joseph P. is an individual health care provider with primary practice located at 150 S Huntington Ave , Boston MA 02130-4817. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Rafferty, Joseph P. can be contacted via phone (857) 364-3608.Contact Information
Primary practice address
150 S Huntington Ave
Boston MA 02130-4817
Phone: (857) 364-3608
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 75115 | Massachusetts |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 75115 | Massachusetts |
Profile Details
| NPI number | 1669459723 |
|---|---|
| LBN Legal business name | Rafferty, Joseph P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | May 18th, 2023 - about 3 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 | 1669459723 | NPPES |
| Massachusetts | Other | J11997 | BLUE CROSS BLUE SHIELD |
| Massachusetts | MEDICAID | 3087735 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 713754 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 075115 | BLUE CROSS BLUE SHIELD |
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