Provider Demographics
NPI:1386766269
Name:NAFF, JOSEPH P
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:NAFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-4354
Mailing Address - Country:US
Mailing Address - Phone:603-668-0014
Mailing Address - Fax:603-623-7676
Practice Address - Street 1:215 MYRTLE ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-4354
Practice Address - Country:US
Practice Address - Phone:603-668-0014
Practice Address - Fax:603-623-7676
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH11656404OtherCAQH
NH1047070OtherCIGNA
NH80001788Medicaid
NH5419080OtherUBH PACIFICARE
NH1403253Y0NH02OtherWELLPOINT BHN
VTORE1788OtherVT MEDICAID
VTORE1788OtherVT MEDICAID