Individual
DR. JAFAR TAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 N JACKSON AVE STE 201, SAN JOSE, CA 95116-1909
(408) 258-8760
(408) 258-3645
Mailing address
175 N JACKSON AVE STE 201, SAN JOSE, CA 95116-1909
(408) 258-8760
(408) 258-3645
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A69558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A695580
—
CA
01
—
A69558
STATE MEDICAL LICENSE
CA
Enumeration date
05/31/2006
Last updated
06/04/2021
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