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Individual

DR. REBECCA JAFFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3105 LIMESTONE RD, STE 300, WILMINGTON, DE 19808-2156
(302) 992-0200
(302) 992-9282
Mailing address
3105 LIMESTONE RD STE 301, WILMINGTON, DE 19808-2156
(302) 992-0200
(302) 992-9282

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10002055
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000453068
DE
01
290847
MAMSI
DE
01
4293598
AETNA
DE
01
5054
COVENTRY HEALTHCARE
DE
01
510279425
BLUE CROSS BLUE SHIELD
DE
01
80008266
MEDICARE RAILROAD
DE
Enumeration date
06/24/2005
Last updated
05/24/2022
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