Individual
DR. DANIEL A JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5615 W GIRARD AVE, PHILADELPHIA, PA 19131-4128
(215) 477-8200
(215) 477-2035
Mailing address
5615 W GIRARD AVE, PHILADELPHIA, PA 19131-4128
(215) 477-8200
(215) 477-2035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD037804E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0793126000
INDEPENDENCE BLUE CROSS
PA
01
—
0793126001
INDEPENDENCE BLUE CROSS
PA
05
—
1093363
—
PA
01
—
2117608
AETNA
PA
Enumeration date
07/19/2006
Last updated
07/08/2007
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