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Individual

DR. SYDNEY R JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
185 CALEB ST, PORTLAND, ME 04102-2237
(214) 683-4513
Mailing address
185 CALEB ST, PORTLAND, ME 04102-2237
(214) 683-4513

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D4894
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
098951902
TX
Enumeration date
05/04/2006
Last updated
12/07/2014
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