Provider Demographics
NPI:1679591366
Name:JONES, HEATHER T (MD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:T
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:E
Other - Last Name:TAGLIARINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-2821
Mailing Address - Country:US
Mailing Address - Phone:781-729-1810
Mailing Address - Fax:866-777-2310
Practice Address - Street 1:11 SHORE RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2821
Practice Address - Country:US
Practice Address - Phone:781-729-1810
Practice Address - Fax:866-777-2310
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231879207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine