Individual
GREGORY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 501-4119
(610) 798-4629
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001655L
PA
Other
Enumeration date
02/28/2006
Last updated
12/18/2015
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