Individual
MR. BRIAN JONES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5800 RIDGE AVE, SUITE 234, PHILADELPHIA, PA 19128
(215) 487-4540
Mailing address
5800 RIDGE AVE #234, PHILADELPHIA, PA 19128
(215) 487-4540
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00478300
NJ
363A00000X
Physician Assistant
MA059403
PA
Other
Enumeration date
10/17/2017
Last updated
12/23/2021
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