Provider Demographics
NPI:1912534264
Name:JOLLIFFE, JASON PALMER (DPM)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:PALMER
Last Name:JOLLIFFE
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:379 CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1161
Mailing Address - Country:US
Mailing Address - Phone:732-937-8939
Mailing Address - Fax:732-418-8372
Practice Address - Street 1:3131 PRINCETON PIKE BLDG 4A
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2201
Practice Address - Country:US
Practice Address - Phone:609-896-1700
Practice Address - Fax:732-418-8372
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MD00374500213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery