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NPI Code Detail

MEDICARE: DR. JOHN L GAFFNEY DO

MEDICARE:  DR. JOHN L GAFFNEY  DO
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
1207Q00000XFamily Medicine PhysicianMB53760NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10505756000OTHERNJAMERIHEALTH
20K6560OTHERNJHEALTHNET
3ATP031OTHERNJOXFORD
43098OTHERNJAETNA
5J1794OTHERNJHORIZON
613532OTHERNJAETNA
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
84199053OTHERNJAETNA

General Provider Information

NPI Number : 1710985387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN L GAFFNEY DO
Provider Business Mailing Address
First Line : 9501 VENTNOR AVE
Second Line :
City : MARGATE
State : NJ
Zip : 08402-2218
Country : US
Telephone Number : 609-823-6161
Fax Number : 609-823-3413
Provider Business Practice Location Address
First Line : 9501 VENTNOR AVE
Second Line :
City : MARGATE
State : NJ
Zip : 08402-2218
Country : US
Telephone Number : 609-823-6161
Fax Number : 609-823-3413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 05/26/2009

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