Individual
CAITLIN STETSON JORDAN SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
430 E 63RD ST, NEW YORK, NY 10065-7918
(301) 990-3190
Mailing address
430 E 63RD ST, APT 12F, NEW YORK, NY 10065-7994
(757) 647-4685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
272062-1
NY
Other
Enumeration date
03/19/2007
Last updated
03/12/2018
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