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Individual

DR. JEROME H JAFFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5217 BEAVERTAIL CT, COLUMBIA, MD 21044-1443
(410) 730-1957
Mailing address
5217 BEAVERTAIL CT, COLUMBIA, MD 21044-1443
(410) 730-1957

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
D0031767
MD
2084P0802X
Addiction Psychiatry Physician
Primary
D0031767
MD

Other

Enumeration date
02/11/2013
Last updated
02/11/2013
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