Individual
DR. PETER DAVID JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 QUARRY ST, WILLIMANTIC, CT 06226-1232
(860) 423-8020
(860) 456-8288
Mailing address
14 QUARRY ST, WILLIMANTIC, CT 06226-1232
(860) 423-8020
(860) 456-8288
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
019026
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001190263
—
CT
01
—
00119026300
BLUECARE FAMILY PLAN
CT
01
—
010019026CT01
ANTHEM BC/BS
CT
01
—
030188
HEALTHNET OF THE NE
CT
01
—
782359
CONNECTICARE
CT
01
—
WIP002
OXFORD HEALTH PLAN
CT
Enumeration date
04/27/2006
Last updated
12/16/2009
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