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Individual

DR. DANIEL FULLER JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11 E ATHENS AVE UNIT 308, ARDMORE, PA 19003
(802) 734-8052
Mailing address
PO BOX 84, NORWICH, VT 05055-0084
(802) 734-8052

Taxonomy

Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
042.0011960
VT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD433643
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1017743
VT
Enumeration date
08/07/2008
Last updated
08/31/2018
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