Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD068862-L | PA |
NPI | 1124028386 |
---|---|
Provider Name | Mr. James Curtiss Jones |
First Address | Scranton, PA 18510-1038 |
Second Address | Scranton, PA 18510-1038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017836880002-31 | (05) | PA |
G43859 | (02) |