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
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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