Jaffe, Jonathan Douglas

Jaffe, Jonathan Douglas is an individual health care provider with primary practice located at 175 Madison Ave Fl 1 , Mount Holly NJ 08060-2099. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Jaffe, Jonathan Douglas can be contacted via phone (609) 914-6000.

Contact Information

Primary practice address
175 Madison Ave Fl 1 Mount Holly NJ 08060-2099
Phone: (609) 914-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2010-01825 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2010-01825 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MB12389900 New Jersey

Profile Details

NPI number 1023289378
LBN Legal business name Jaffe, Jonathan Douglas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated Jan 8th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023289378 NPPES
North Carolina MEDICAID 5919042

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