Provider Demographics
NPI:1629081682
Name:JAFFEE, WILLIAM L (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:L
Last Name:JAFFEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2600 GLASGOW AVENUE
Mailing Address - Street 2:SUITE 126
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702
Mailing Address - Country:US
Mailing Address - Phone:302-836-0100
Mailing Address - Fax:302-836-5244
Practice Address - Street 1:1941 LIMESTONE ROAD
Practice Address - Street 2:SUITE 107
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808
Practice Address - Country:US
Practice Address - Phone:302-998-2166
Practice Address - Fax:302-998-1525
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC10001746207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE333501Medicaid
DEMD0950OtherDCS
DEMD0950OtherDCS
D77280Medicare UPIN
DEAJ8766555OtherDEA