Organization
DON R JAFFE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON R JAFFE M.D. (PRESIDENT)
(508) 946-1320
Entity
Organization
Contact information
Practice address
511 W GROVE ST STE 306, MIDDLEBORO, MA 02346-1479
(508) 946-1320
Mailing address
511 W GROVE ST STE 306, MIDDLEBORO, MA 02346-1479
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31230
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9753281
—
MA
01
—
M14190
BLUE SHIELD OF MA
MA
Enumeration date
04/09/2007
Last updated
06/20/2008
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