Raphael Corp
NPI #1134759350 in Warwick, Rhode Island
Provider Information
- NPI Number
- 1134759350
- Entity Type
- Organization
- Organization Name
- Raphael Corp
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 16, 2020
- Last Updated
- Oct 9, 2020
Practice Location
- Address
- 1565 POST RD UNIT 5
- City
- Warwick
- State
- Rhode Island
- ZIP Code
- 02888-5949
- Phone
- (603) 418-4956
Authorized Official
- Name
- DR. BASANT T SIDHOM, OD
- Title
- CEO/OPTOMETRIST
- Phone
- (401) 472-9424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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