Individual
DR. IAN MATHIAS JAFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 CALIFORNIA ST, DEPARTMENT OF PATHOLOGY, 4TH FLOOR, SAN FRANCISCO, CA 94118-1618
(559) 455-4000
(559) 455-4007
Mailing address
PO BOX 26060, FRESNO, CA 93729-6060
(559) 455-4000
(559) 455-4007
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A93612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A936120
—
CA
Enumeration date
12/11/2006
Last updated
04/26/2010
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