Provider Demographics
NPI:1144485152
Name:JAFFE, JANE K (DO)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:K
Last Name:JAFFE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:128 ROUTE 70
Practice Address - Street 2:SUITE 1B RIGHT
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055
Practice Address - Country:US
Practice Address - Phone:856-206-4786
Practice Address - Fax:856-206-4789
Is Sole Proprietor?:No
Enumeration Date:2008-07-20
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOT012108207R00000X
NJ25MB09304200207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0720950Medicaid