Individual
GITIE S JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5454 HOFFMAN AVE, SAINT MARGARET MERCY HEALTHCARE CENTERS, HAMMOND, IN 46320-1999
(708) 891-9305
(219) 933-2597
Mailing address
PO BOX 88487, CHICAGO, IL 60680-1487
(312) 791-2000
(312) 791-2076
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01057469A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087621-1
—
IN
Enumeration date
09/29/2006
Last updated
07/08/2007
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