Dr. Thomas D Rafferty
Vascular Surgeon
736 Hunt Club Way
Avon Lake
, Ohio 44012-4019
Dr. Thomas D Rafferty
Vascular Surgeon
736 Hunt Club Way
Avon Lake
, Ohio 44012-4019
(440) 617-5884
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Thomas D Rafferty
- 736 Hunt Club Way
- Avon Lake, OH
- Zip : 44012-4019
- Phone : (440) 617-5884
Second Address
- Dr. Thomas D Rafferty
- 736 Hunt Club Way
- Avon Lake, OH
- Zip : 44012-4019
- Phone : (440) 617-5884
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Is Dr. Thomas D Rafferty a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 35046972R | OH |
National Provider Identifier
| NPI | 1093773103 |
|---|---|
| Provider Name | Dr. Thomas D Rafferty |
| First Address | Avon Lake, OH 44012-4019 |
| Second Address | Avon Lake, OH 44012-4019 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 17/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A80415 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.