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1144516675
RAFAEL JOSE DE LA PUENTE
WORCESTER, MA
NPI
1144516675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL D415-730-84-325-0)
Enumeration Date
2011-06-23
Last Update Date
2014-08-20
Business Address
-- RAFAEL JOSE DE LA PUENTE MD
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-334-1000
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Mailing Address
-- RAFAEL JOSE DE LA PUENTE MD
PO BOX 25127 SARASOTA EMERGENCY ASSOCIATES
SARASOTA, FL 34277
Phone number: 508-334-1000
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