Basic Information
| Provider Information | |||||||||
| NPI: | 1366745978 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | JOFFE | ||||||||
| FirstName: | CORA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13 S TEJON ST | ||||||||
| Address2: | SUITE 501 | ||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809031513 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8662268576 | ||||||||
| FaxNumber: | 8666178910 | ||||||||
| Practice Location | |||||||||
| Address1: | 13 S TEJON ST | ||||||||
| Address2: | SUITE 501 | ||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809031513 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8662268576 | ||||||||
| FaxNumber: | 8666178910 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/21/2010 | ||||||||
| LastUpdateDate: | 11/19/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246ZE0600X | Y | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Electroneurodiagnostic |
No ID Information.