Individual
DR. BURTON S JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2877 OAK POINT TER, DEPT 30535, THE VILLAGES, FL 32163-2649
(618) 579-9461
Mailing address
2877 OAK POINT TER, DEPT 30535, THE VILLAGES, FL 32163-2649
(618) 579-9461
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-110369
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110369
—
IL
Enumeration date
05/12/2006
Last updated
05/23/2014
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