Provider Demographics
NPI:1952339327
Name:JONES, DAVID A (MD, PHD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:JONES
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 WASHINGTON ST
Mailing Address - Street 2:SUITE BLUE-120
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1650
Mailing Address - Country:US
Mailing Address - Phone:617-969-0210
Mailing Address - Fax:617-527-6019
Practice Address - Street 1:2000 WASHINGTON ST
Practice Address - Street 2:SUITE BLUE-120
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1650
Practice Address - Country:US
Practice Address - Phone:617-969-0210
Practice Address - Fax:617-527-6019
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA205379207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology