Provider Demographics
NPI:1497752976
Name:JAFFESS, JAY S (PHARMD, MS, BCPP)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:S
Last Name:JAFFESS
Suffix:
Gender:M
Credentials:PHARMD, MS, BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 THOROUGHBRED DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2571
Mailing Address - Country:US
Mailing Address - Phone:215-860-4802
Mailing Address - Fax:
Practice Address - Street 1:LANGHORNE NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1201
Practice Address - Country:US
Practice Address - Phone:215-710-2069
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039447R1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric