Provider Demographics
NPI:1962656579
Name:JOFFE, AVRUM (MD, FAAOS)
Entity Type:Individual
Prefix:DR
First Name:AVRUM
Middle Name:
Last Name:JOFFE
Suffix:
Gender:M
Credentials:MD, FAAOS
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Mailing Address - Street 1:AVRUM L JOFFE SOLE MBR
Mailing Address - Street 2:106 PROSPECT ST STE 3
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-4433
Mailing Address - Country:US
Mailing Address - Phone:201-639-2656
Mailing Address - Fax:201-345-4405
Practice Address - Street 1:106 PROSPECT ST STE 3
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-4433
Practice Address - Country:US
Practice Address - Phone:201-639-2656
Practice Address - Fax:201-345-4405
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA119886207X00000X
NY250629207X00000X
NJ25MA09147600207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY250629OtherMEDICAL LICENSE NUMBER
NJ25MA09147600OtherNEW JERSEY STATE MEDICAL LICENSE
CAA119886OtherCALIFORNIA MEDICAL LICENSE