Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 250629 | NY |
N | 207X00000X | Orthopaedic Surgeon | A119886 | CA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA09147600 | NJ |
NPI | 1962656579 |
---|---|
Provider Name | Dr. Avrum Joffe |
First Address | Ridgewood, NJ 07450-4433 |
Second Address | Ridgewood, NJ 07450-4433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2008 |
Last Update Date | 24/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
250629 | MEDICAL LICENSE NUMBER (01) | NY |
25MA09147600 | NEW JERSEY STATE MEDICAL LICENSE (01) | NJ |
A119886 | CALIFORNIA MEDICAL LICENSE (01) | CA |