Organization
JONATHAN WARREN MD PC
Active
Organization
JONATHAN WARREN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN WARREN MD (OWNER)
(610) 253-2256
Entity
Organization
Contact information
Practice address
77 N 2ND ST, EASTON, PA 18042-3636
(610) 253-2256
(610) 253-6547
Mailing address
77 N 2ND ST, EASTON, PA 18042-3636
(610) 253-2256
(610) 253-6547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD012069E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006143590002
—
PA
01
—
02568600
CAPITAL BLUE CROSS
PA
01
—
120107
HIGHMARK BLUE SHIELD
PA
05
—
3542602
—
NJ
01
—
9905019
HORIZON BC BS
PA
Enumeration date
12/28/2006
Last updated
08/22/2020
Update your record
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