Conrade C Jaffe
Nuclear Medicine Specialist
88 E Newton St
Boston
, Massachusetts 02118-2308
Conrade C Jaffe
Nuclear Medicine Specialist
88 E Newton St
Boston
, Massachusetts 02118-2308
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Conrade C Jaffe
- 720 Harrison Ave Dob 503
- Boston, MA
- Zip : 02118-2371
- Phone :
Second Address
- Conrade C Jaffe
- 88 E Newton St
- Boston, MA
- Zip : 02118-2308
- Fax : (617) 638-6616
- Phone : (617) 638-6610
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Is Conrade C Jaffe a sole practitioner?
Is Conrade C Jaffe accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | 34874 | MA |
National Provider Identifier
| NPI | 1538323795 |
|---|---|
| Provider Name | Conrade C Jaffe |
| First Address | Boston, MA 02118-2371 |
| Second Address | Boston, MA 02118-2308 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2008 |
| Last Update Date | 06/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110081001A | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.