Provider Demographics
NPI:1508851783
Name:JAFFEE, ROBERT MARC (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MARC
Last Name:JAFFEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5900
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:11800 ROCK LANDING DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4206
Practice Address - Country:US
Practice Address - Phone:757-643-8800
Practice Address - Fax:757-643-8919
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
VA0101260789207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00804559Medicaid
NY00804559Medicaid
NY5601520001Medicare NSC
NYC08556Medicare UPIN