Individual
DR. FLORENCE JAFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
336 N MAIN ST, WEST HARTFORD, CT 06117-2675
(860) 232-4891
Mailing address
920 ELKRIDGE LANDING RD, LINTHICUM, MD 21090-2917
(443) 462-5010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
065158
CT
207Q00000X
Family Medicine Physician
Primary
H83019
MD
207Q00000X
Family Medicine Physician
OS017801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065158
CT LIC
CT
Enumeration date
05/14/2014
Last updated
06/10/2020
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