Doctor Name: | DR. ROBERT TORIN JAFFE |
NPI Number: | 1023352143 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G86528 |
Business Practice Address: | 3000 Cleveland Ave Ste 210 Santa Rosa, CA - 954032117 |
Business Phone Number: | 7078201035 |
Business Fax Number: | |
Mailing Address: | 8 Voss Park Cir, SANTA ROSA |
State: | CA |
Postal Code: | 954030000 |
Phone Number: | 7078201035 |
Fax Number: | 8882375233 |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 11/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G86528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |