Provider Demographics
NPI:1912102260
Name:JONESCOX, CANDICE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:CANDICE
Middle Name:ELIZABETH
Last Name:JONESCOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CANDICE
Other - Middle Name:E
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8901 WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0004
Mailing Address - Country:US
Mailing Address - Phone:301-319-2940
Mailing Address - Fax:301-319-2966
Practice Address - Street 1:6301 EXECUTIVE BLVD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3905
Practice Address - Country:US
Practice Address - Phone:301-770-4967
Practice Address - Fax:301-770-3205
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0082761207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD520906443OtherEMPLOYER EIN