Individual
WILLIAM I JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, SUITE 300 MOB, PHILADELPHIA, PA 19104-2640
(215) 662-8699
(215) 243-4649
Mailing address
51 N 39TH ST, SUITE 300 MOB, PHILADELPHIA, PA 19104-2640
(215) 662-8699
(215) 243-4649
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD419664
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013014400001
—
PA
Enumeration date
10/12/2005
Last updated
10/02/2012
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