Jaffe, William I

Jaffe, William I is an individual health care provider with primary practice located at 51 N 39Th St Suite 300 Mob, Philadelphia PA 19104-2640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Jaffe, William I can be contacted via phone (215) 662-8699.

Contact Information

Primary practice address
51 N 39Th St Suite 300 Mob Philadelphia PA 19104-2640
Phone: (215) 662-8699
Fax: (215) 243-4649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD419664 Pennsylvania

Profile Details

NPI number 1124016225
LBN Legal business name Jaffe, William I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Oct 2nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124016225 NPPES
Pennsylvania MEDICAID 1013014400001

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