MEDICARE: DR. JAY S JAFFESS PHARM.D, MS, BCPP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1300X	Psychiatric Pharmacist	RP039447R	PA

General Provider Information

NPI Number	:	1497752976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAY S JAFFESS PHARM.D, MS, BCPP

Provider Business Mailing Address
First Line	:	55 THOROUGHBRED DR
Second Line	:
City	:	HOLLAND
State	:	PA
Zip	:	18966-2571
Country	:	US
Telephone Number	:	215-860-4802
Fax Number	:

Provider Business Practice Location Address
First Line	:	LANGHORNE NEWTOWN RD
Second Line	:
City	:	LANGHORNE
State	:	PA
Zip	:	19047-1201
Country	:	US
Telephone Number	:	215-710-2069
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	07/08/2007

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