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Individual

EDWARD R. JONES

Active
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Individual

EDWARD R. JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD017216E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007436880003
—
PA
01
—
0054039000
KEYSTONE HEALTH PLAN EAST
PA
01
—
0074368805
AMERICHOICE
PA
01
—
072490
HIGHMARK BLUE SHIELD
PA
01
—
1017003
KEYSTONE MERCY
PA
01
—
12945MD017216E
HEALTH PARTNERS
PA
01
—
50039
AETNA
PA
01
—
CA1374
RAILROAD MEDICARE
PA
Enumeration date
11/28/2005
Last updated
01/16/2012
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