Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 16703 | MA |
NPI | 1013026756 |
---|---|
Provider Name | Dr. Anita L Jones |
First Address | Fall River, MA 02721 |
Second Address | Fall River, MA 02721 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 29/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000025875 | BOSTON MEDICAL CENTER HEA (01) | MA |
16179 | HARVARD PILGRIMI HEALTH C (01) | MA |
407514 | TUFTS HEALTH PLAN (01) | |
909617 | UNITED CONCORDIA (01) | |
U17492 | (02) | |
X06416 | BLUE CROSS BLUE SHIELD (01) | MA |