Provider Demographics
NPI:1073781944
Name:JONES, TOBIAS EDWARD (CSA)
Entity Type:Individual
Prefix:
First Name:TOBIAS
Middle Name:EDWARD
Last Name:JONES
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7864 DOGWOOD BLOSSOM RD
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-2044
Mailing Address - Country:US
Mailing Address - Phone:410-969-4244
Mailing Address - Fax:
Practice Address - Street 1:7864 DOGWOOD BLOSSOM RD
Practice Address - Street 2:
Practice Address - City:SEVERN
Practice Address - State:MD
Practice Address - Zip Code:21144-2044
Practice Address - Country:US
Practice Address - Phone:410-969-4244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant