| NPI | 1245916014 |
|---|---|
| Doing Business As | RAPHAEL NOVOGRODSKY MD PC |
| Entity Type | Organization |
| Authorized Contact | RAPHAEL NOVOGRODSKY Owner 201-638-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |