MEDICARE: IAN JOFFE 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
1	207RC0000X	Cardiovascular Disease Physician	25MA06712400	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1891766622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IAN JOFFE MD

Provider Business Mailing Address
First Line	:	1105 LAUREL OAK RD
Second Line	:	SUITE #165
City	:	VOORHEES
State	:	NJ
Zip	:	08043-4312
Country	:	US
Telephone Number	:	856-424-3600
Fax Number	:	856-424-7154

Provider Business Practice Location Address
First Line	:	1105 LAUREL OAK RD
Second Line	:	SUITE #165
City	:	VOORHEES
State	:	NJ
Zip	:	08043-4312
Country	:	US
Telephone Number	:	856-424-3600
Fax Number	:	856-424-7154

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	07/19/2012

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