Individual
JAY S JENOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 WALNUT ST, SUITE 500, PHILADELPHIA, PA 19107-5563
(215) 955-6750
(215) 923-8222
Mailing address
1100 WALNUT ST, SUITE 500, PHILADELPHIA, PA 19107-5563
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD417734
PA
2086S0102X
Surgical Critical Care Physician
Primary
MD417734
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126624
—
NJ
05
—
1018350610005
—
PA
Enumeration date
01/19/2007
Last updated
04/15/2014
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