Individual
DR. MICHAEL C JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 LANSDOWNE AVE, DARBY, PA 19023
(610) 237-4000
(610) 237-5641
Mailing address
PO BOX 468, BERWICK, PA 18603-0468
(610) 956-0003
(570) 759-7613
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D63043
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD428459
PA
2085R0202X
Diagnostic Radiology Physician
ME155125
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110800000407536600
—
MD
01
—
38110065
CAREFIRST DC
MD
01
—
KC46SH60340002
CAREFIRST
MD
Enumeration date
03/23/2006
Last updated
03/31/2023
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