Provider Demographics
NPI:1588823256
Name:JONES, ANDREW G (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:G
Last Name:JONES
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 UNICORN PARK DR STE 401
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-3342
Mailing Address - Country:US
Mailing Address - Phone:781-756-6760
Mailing Address - Fax:781-756-6767
Practice Address - Street 1:200 UNICORN PARK DR STE 401
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-3342
Practice Address - Country:US
Practice Address - Phone:781-756-6760
Practice Address - Fax:781-756-6767
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2703612083P0901X, 207R00000X
SC380612083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH002917301Medicare PIN
NH32001699Medicaid