Provider Demographics
NPI:1942276050
Name:JONES, PATRICIA HUGHES (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:HUGHES
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5235 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19139-4027
Mailing Address - Country:US
Mailing Address - Phone:215-471-5070
Mailing Address - Fax:215-471-5150
Practice Address - Street 1:5235 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19139-4027
Practice Address - Country:US
Practice Address - Phone:215-471-5070
Practice Address - Fax:215-471-5150
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041801E207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0191644301Medicaid
PAE30226Medicare UPIN
PA0191644301Medicaid