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NPI Code Detail

MEDICARE: STUART R. JAFFEE, MD, UROLOGY, INC.

MEDICARE: STUART R. JAFFEE, MD, UROLOGY, INC.
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
1208800000XUrology PhysicianMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821082561
Entity Type Code : Organization
Provider Name (Legal Business Name) : STUART R. JAFFEE, MD, UROLOGY, INC.
Provider Business Mailing Address
First Line : 340 MAIN ST
Second Line : SUITE 670
City : WORCESTER
State : MA
Zip : 01608-1604
Country : US
Telephone Number : 508-754-3566
Fax Number : 508-798-8012
Provider Business Practice Location Address
First Line : 10 WINTHROP ST
Second Line : SUITE 319
City : WORCESTER
State : MA
Zip : 01604-4435
Country : US
Telephone Number : 508-755-5568
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : STUART R JAFFEE
Credential : MD
Telephone Number : 508-755-5568
Provider Enumeration Date : 09/08/2005
Last Update Date : 07/21/2022

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