Provider Demographics
NPI:1730124249
Name:B. ERIC JONES, MD, PA
Entity Type:Organization
Organization Name:B. ERIC JONES, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:B
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-971-2347
Mailing Address - Street 1:514 BAYBERRY DR
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-3603
Mailing Address - Country:US
Mailing Address - Phone:410-288-2853
Mailing Address - Fax:410-288-2854
Practice Address - Street 1:1001 N POINT BLVD STE 501
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3413
Practice Address - Country:US
Practice Address - Phone:410-288-2853
Practice Address - Fax:410-288-2854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2023-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0055168261QH0100X
261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
G75362Medicare UPIN