MEDICARE: DR. RAFAEL ATTIYA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MA07431700	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00019878	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326037540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAFAEL ATTIYA MD

Provider Business Mailing Address
First Line	:	PO BOX 56
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-0056
Country	:	US
Telephone Number	:	609-463-2755
Fax Number	:	609-463-2757

Provider Business Practice Location Address
First Line	:	15 VILLAGE DR
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-1939
Country	:	US
Telephone Number	:	609-463-8887
Fax Number	:	609-463-1116

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	10/29/2007

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