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General NPI Number Information
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NPI Number | 1346209624
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Entity Type | Individual
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Provider Name | MICHAEL C JAY MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 1500 LANSDOWNE AVE
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City | DARBY
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State | PA
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Zip | 19023
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Country | US
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Telephone | 610-237-4000
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Fax | 610-237-5641
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Provider Business Mailing Address
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Address Line | PO BOX 468
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City | BERWICK
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State | PA
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Zip | 18603-0468
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Country | US
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Telephone | 610-956-0003
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Fax | 570-759-7613
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D63043
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME155125
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD428459
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License Number State | PA
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