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NPI Code Detail

MEDICARE: DR. JORDANA ZANGER-JAFFEE MD

MEDICARE: DR. JORDANA ZANGER-JAFFEE MD
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
1207R00000XInternal Medicine Physician48650AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00261750OTHERRIRR MEDICARE
2709003711OTHERRIGROUP MEDICARE
4Z166559OTHERAZMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861489387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORDANA ZANGER-JAFFEE MD
Provider Business Mailing Address
First Line : 14200 W CELEBRATE LIFE WAY
Second Line :
City : GOODYEAR
State : AZ
Zip : 85338-3007
Country : US
Telephone Number : 623-207-3171
Fax Number : 623-207-3205
Provider Business Practice Location Address
First Line : 14200 W CELEBRATE LIFE WAY
Second Line :
City : GOODYEAR
State : AZ
Zip : 85338-3007
Country : US
Telephone Number : 623-207-3171
Fax Number : 623-207-3205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 03/29/2016

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