Provider Demographics
NPI:1184213944
Name:REFUAH SURGICAL CONSULTING PC
Entity Type:Organization
Organization Name:REFUAH SURGICAL CONSULTING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFAILOV
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:347-446-3147
Mailing Address - Street 1:108 BILBY RD STE 107
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4174
Mailing Address - Country:US
Mailing Address - Phone:908-850-9548
Mailing Address - Fax:908-813-3256
Practice Address - Street 1:108 BILBY RD STE 107
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4174
Practice Address - Country:US
Practice Address - Phone:908-850-9548
Practice Address - Fax:908-813-3256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty