Individual
JOHN THOMAS JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 338-2500
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 783-4079
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
016780
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431557499
—
ME
Enumeration date
06/24/2005
Last updated
07/20/2015
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