Individual
MOHAMMED JAFFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3308 HARTEL AVE, PHILADELPHIA, PA 19136-3026
(347) 735-8375
Mailing address
3308 HARTEL AVE, PHILADELPHIA, PA 19136-3026
(347) 735-8375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
623024
PA
163W00000X
Registered Nurse
629747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0329114
—
NY
05
—
1025640160001
—
PA
Enumeration date
12/21/2010
Last updated
09/22/2011
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