Individual
DR. FAROUC A JAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, INTERVENTIONAL CARDIOLOGY ASSOCIATES GRB 852B, BOSTON, MA 02114-2621
(617) 724-8052
(617) 724-0697
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
156981
MA
207RC0000X
Cardiovascular Disease Physician
156981
MA
207RI0011X
Interventional Cardiology Physician
Primary
156981
MA
Other
Enumeration date
11/03/2005
Last updated
09/11/2025
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