Provider Demographics
NPI:1669896825
Name:CRAIG JONES, M.D. - EAR, NOSE & THROAT SURGERY, P.C.
Entity type:Organization
Organization Name:CRAIG JONES, M.D. - EAR, NOSE & THROAT SURGERY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:A
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-539-2444
Mailing Address - Street 1:5 INDUSTRIAL DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3464
Mailing Address - Country:US
Mailing Address - Phone:508-539-2444
Mailing Address - Fax:508-539-2445
Practice Address - Street 1:5 INDUSTRIAL DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3464
Practice Address - Country:US
Practice Address - Phone:508-539-2444
Practice Address - Fax:508-539-2445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-09
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA203456207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110099093AMedicaid
MA110099093AMedicaid