Provider Demographics
NPI:1952465676
Name:JOFFE, ALAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAIN
Middle Name:
Last Name:JOFFE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 SULGRAVE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4404
Mailing Address - Country:US
Mailing Address - Phone:410-516-7746
Mailing Address - Fax:410-516-4784
Practice Address - Street 1:3400 N. CHARLES STREET
Practice Address - Street 2:JOHNS HOPKINS U. STUDENT HEALTH CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2682
Practice Address - Country:US
Practice Address - Phone:410-516-7746
Practice Address - Fax:410-516-4784
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00247872080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC57732Medicare UPIN