Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 25MA05772700 | NJ |
NPI | 1164428033 |
---|---|
Provider Name | Robert M Jaffe |
First Address | East Brunswick, NJ 08816-5426 |
Second Address | Edison, NJ 08820-3032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2005 |
Last Update Date | 06/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0896209 | (05) | NJ |
300025874 | RAILROAD MEDICARE - EDISON (01) | NJ |
300025893 | RAILROAD MEDICARE - BRIDGEWATER (01) | NJ |
300102248 | RAILROAD MEDICARE - SMC (01) | NJ |
300102248 | RAILROAD MEDICARE - WARREN (01) | NJ |
C09647 | (02) | NJ |