Individual
DR. JORDANA ZANGER-JAFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3171
(623) 207-3205
Mailing address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3171
(623) 207-3205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48650
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70565886
—
RI
01
—
709003711
GROUP MEDICARE
RI
01
—
P00261750
RR MEDICARE
RI
01
—
Z166559
MEDICARE PTAN
AZ
Enumeration date
09/30/2005
Last updated
03/29/2016
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