Individual
NOAH JESSE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 TELESTAR CT., #200, FALLS CHURCH, VA 22042-1262
(703) 573-3494
(703) 573-5353
Mailing address
130 PARK ST SE, SUITE 100, VIENNA, VA 22180-4609
(703) 591-1280
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101244963
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101244963
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068882800
—
DC
05
—
1326178815
—
VA
05
—
416808900
—
MD
01
—
P00739962
RAILROAD MEDICARE
DC
01
—
P00806639
RAILROAD MEDICARE VA
VA
Enumeration date
03/06/2007
Last updated
06/13/2011
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