Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | MD020682E | PA |
N | 208D00000X | General Practice Physician | MD-020682-E | PA |
NPI | 1811919830 |
---|---|
Provider Name | Stuart A Jones |
First Address | Wescosville, PA 18106-0478 |
Second Address | Easton, PA 18042-3851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 30/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0649784-03 | (05) | PA |
C27798 | (02) |