Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 60369 | CT |
Y | 208600000X | Surgeon | 60369 | CT |
NPI | 1013279199 |
---|---|
Provider Name | Dr. Eyone Jones |
First Address | Manchester, CT 06040-4139 |
Second Address | Manchester, CT 06040-4139 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2012 |
Last Update Date | 14/12/2018 |