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NPI Code Detail

MEDICARE: DR. JEFFREY A LAFFERMAN MD/PA

MEDICARE:  DR. JEFFREY A LAFFERMAN  MD/PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal MedicineM21440MD
2173000000XLegal MedicineBL0369656MD
3174400000XSpecialistD31176MD
42084P0800XPsychiatry PhysicianD0031176MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1260021534OTHERMDBALTIMORE COUNTY
2260050814OTHERMDDC, PG COUNTY
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396779385
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY A LAFFERMAN MD/PA
Provider Business Mailing Address
First Line : 5016 KEMP RD
Second Line : REISTERSTOWN
City : REISTERSTOWN
State : MD
Zip : 21136-4712
Country : US
Telephone Number : 410-429-0909
Fax Number : 410-825-0757
Provider Business Practice Location Address
First Line : 1634 SULPHUR SPRING RD
Second Line :
City : BALTIMORE
State : MD
Zip : 21227-2539
Country : US
Telephone Number : 410-242-0920
Fax Number : 410-242-0924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 09/13/2022

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Directions to “ DR. JEFFREY A LAFFERMAN MD/PA” Practice Location

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