Healthcare Provider Details

I. General information

NPI: 1306962113
Provider Name (Legal Business Name): BARBARA F JAFFEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 OMEGA DR BLDG. K
NEWARK DE
19713-2057
US

IV. Provider business mailing address

505 HORSESHOE HILL RD
HOCKESSIN DE
19707-9360
US

V. Phone/Fax

Practice location:
  • Phone: 302-368-5100
  • Fax: 302-246-2466
Mailing address:
  • Phone: 302-368-5100
  • Fax: 302-246-2466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberC1-0000794
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: