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