Fredric Jaffe DO

NPI 1043234008 - Internal Medicine - 207R00000X

NPI Details
NPI 1043234008
Gender Male
Enumeration Date 07/26/2006
Last Updated 01/27/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3401 N BROAD ST
PHILADELPHIA PA, 19140-5103, US
Phone (215) 707-5864
Fax (215) 707-6867
Business Location
2450 W HUNTING PARK AVE
3/208N
PHILADELPHIA PA, 19129-1302, US
Phone (215) 707-5864
Fax (215) 707-6867
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number OS010681L
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According to our database, Dr. Fredric Jaffe DO NPI is 1043234008, taxonomy code is 207R00000X and license number is OS010681L, license state is located at Pennsylvania. Fredric Jaffe DO physically located at 3401 N Broad St, Philadelphia PA, 19140-5103. NPI Number Fredric Jaffe DO has the Individual type.

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1043234008 NPI number is provided on an as is basis without warranty of any kind. 1043234008 is maintained by the National Plan & Provider Enumeration System. The contents of Fredric Jaffe DO are for informational purposes only.