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Contact Information

SAMUIL D RAFAILOV, DO
183 HIGH ST STE 1500
NEWTON, NJ07860
 Phone: 973-383-6244
 Fax: 973-383-0573
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SAMUIL D RAFAILOV · (Male)

NPI Number 1306107644
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/04/2012
Last updated 08/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB10425100
  • NY License # 271919
  • WA License # OP60738550
Hospital affiliation(s)
  • HACKETTSTOWN REGIONAL MEDICAL CENTER - (Acute Care)
    651 WILLOW GROVE ST
    HACKETTSTOWN, NJ 07840
  • NEWTON MEMORIAL HOSPITAL - (Acute Care)
    175 HIGH ST
    NEWTON, NJ 07860
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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