Individual
DR. RUSSELL JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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