Provider Demographics
NPI:1790991081
Name:LAUGHINGWELL, RAEPH (MD)
Entity Type:Individual
Prefix:
First Name:RAEPH
Middle Name:
Last Name:LAUGHINGWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 LOCUST STREET
Mailing Address - Street 2:#1
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060
Mailing Address - Country:US
Mailing Address - Phone:413-238-5553
Mailing Address - Fax:413-586-3212
Practice Address - Street 1:61 LOCUST ST
Practice Address - Street 2:SUITE 1
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2018
Practice Address - Country:US
Practice Address - Phone:413-584-2303
Practice Address - Fax:413-586-3212
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA235565207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000704502Medicare PIN