Kenneth  A  Jaffe    MD
Contract Details
Alabama Orthopaedic Center
Facility name
Provider ID
P000000832
NPI
1720005812
Tax ID
631120263
Effective Date
3/10/1995
Last Updated
10/13/2015
Direct Contract
Yes
Term Date
10/13/2015
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
3525 Independence Drive
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058026700 (Phone)
Billing Details
Address
3525 Independence Drive
Birmingham, AL 35209
Billing Phone
2058026700
Specialty Type
Surgery, Orthopedic
Map
Address