Male or Other

Dr. Farouc A. Jaffer MD PHD

Full Name

Dr. Farouc A Jaffer MD PHD

NPI Number

1083605547

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/03/2005

Specialties

(Taxonomies)

Code

207RC0000X
207R00000X
207RI0011X

Primary Taxonomy

No
No
No

Licenses

State

Massachusetts

License Number

156981

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 9142
55 FRUIT ST

City

Charlestown
Boston

State

MA
MA

Postal Code

02129-9142
02114-2621

Country

US
US

Telephone Number

(617) 724-0287
(617) 724-8052

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address