Individual
JONATHAN DOUGLAS JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
175 MADISON AVE FL 1, MOUNT HOLLY, NJ 08060-2099
(609) 914-6000
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2010-01825
NC
207L00000X
Anesthesiology Physician
Primary
25MB12389900
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
2010-01825
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919042
—
NC
Enumeration date
03/14/2008
Last updated
01/08/2025
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