Individual
DR. JEFFREY ALAN PASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12482
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470626790
FED TAX ID
—
05
—
47062679000
—
NE
01
—
NA2227001
MEDICARE PTAN
NE
Enumeration date
08/05/2006
Last updated
11/24/2015
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