Provider Demographics
NPI:1891849758
Name:JONES, GERALD WALTER JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:WALTER
Last Name:JONES
Suffix:JR
Gender:M
Credentials:DPM
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Mailing Address - Street 1:85 S HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-1700
Mailing Address - Country:US
Mailing Address - Phone:973-678-9000
Mailing Address - Fax:973-678-1086
Practice Address - Street 1:85 S HARRISON ST
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1700
Practice Address - Country:US
Practice Address - Phone:973-678-9000
Practice Address - Fax:973-678-1086
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ2259213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery