Provider Demographics
NPI:1912294992
Name:KNAUF, RAPHAEL JONATHAN (MD)
Entity type:Individual
Prefix:
First Name:RAPHAEL
Middle Name:JONATHAN
Last Name:KNAUF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 GAY ST FL 1
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-3842
Mailing Address - Country:US
Mailing Address - Phone:484-447-7762
Mailing Address - Fax:484-397-1302
Practice Address - Street 1:500 GAY ST FL 1
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-3842
Practice Address - Country:US
Practice Address - Phone:484-920-3674
Practice Address - Fax:484-397-1302
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD454254207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine