Individual
DR. ADIL N JAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4308 BELMONT AVE, YOUNGSTOWN, OH 44505-1052
(330) 759-7038
(330) 759-7071
Mailing address
4308 BELMONT AVE, YOUNGSTOWN, OH 44505-1052
(330) 759-7038
(330) 759-7071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35084317
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2560876
—
OH
01
—
36D0341980
CLIA
OH
01
—
P00208539
PALMETTO GBA- RR MEDICARE
OH
Enumeration date
11/15/2005
Last updated
12/11/2007
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