Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD026229E | PA |
NPI | 1013987544 |
---|---|
Provider Name | Jonathan M. Cox |
First Address | Philadelphia, PA 19178-6335 |
Second Address | Philadelphia, PA 19116-3703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 12/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0019156600009 | (05) | PA |
1502183 | HIGHMARK BLUE SHIELD (01) | PA |
2190739000 | KEYSTONE IBC (01) | PA |
30061448 | KEYSTONE MERCY (01) | PA |
35053MD026229E | HEALTH PARTNERS (01) | PA |
4552547 | AETNA PPO (01) | PA |
6837843 | AETNA HMO (01) | PA |
D19710 | (02) | PA |