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Individual

ANDREW M JAFFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
250 PLEASANT ST, ER DEPT, CONCORD, NH 03301-7539
(603) 227-7000
(603) 224-6527
Mailing address
250 PLEASANT ST, EMERGENCY DEPT, CONCORD, NH 03301-7539
(603) 227-7000
(603) 230-7218

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7084
NH
207R00000X
Internal Medicine Physician
7084
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30205704
NH
01
UX4595
MEDICARE PTAN
NH
Enumeration date
06/11/2006
Last updated
10/03/2013
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