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Individual

DR. RUSSELL JAFFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 5TH AVE, NEW YORK, NY 10021-7216
(703) 788-5101
(703) 255-1389
Mailing address
1826 CALVERT ST NW, WASHINGTON, DC 20009-1906
(703) 851-1800
(703) 255-1389

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18313
DC
133NN1002X
Nutrition Education Nutritionist
18313
DC
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
18313
DC
209800000X
Legal Medicine (M.D./D.O.) Physician
18313
DC

Other

Enumeration date
06/18/2007
Last updated
09/11/2025
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