Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | H0079876 | MD |
NPI | 1265529762 |
---|---|
Provider Name | Dr. Christopher Edward Jonas |
First Address | Bethesda, MD 20814-4799 |
Second Address | Bethesda, MD 20814-4712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 27/07/2018 |