Organization
SYDNEY R. JONES, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY R. JONES M.D. (OWNER/PHYSICIAN)
(214) 683-4513
Entity
Organization
Contact information
Practice address
185 CALEB ST, LB70, 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
04/22/2009
Last updated
12/07/2014
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