Individual
THEODORE D JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
485 ROYER DR, STE 103, LANCASTER, PA 17601-5102
(717) 560-4020
(717) 560-2919
Mailing address
485 ROYER DR, SUITE 103, LANCASTER, PA 17601-5102
(717) 560-4020
(717) 560-2919
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD063410L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018626100001
—
PA
Enumeration date
10/31/2005
Last updated
12/08/2020
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