Individual
EDWARD R. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 E MORELAND AVE, SUITE 100, PHILADELPHIA, PA 19118-3541
(267) 385-5538
(267) 437-3176
Mailing address
10 E MORELAND AVE, SUITE 100, PHILADELPHIA, PA 19118-3541
(267) 385-5538
(267) 437-3176
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD017216E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007436880003
—
PA
01
—
0054039000
KEYSTONE HEALTH PLAN EAST
PA
01
—
0074368805
AMERICHOICE
PA
01
—
072490
HIGHMARK BLUE SHIELD
PA
01
—
1017003
KEYSTONE MERCY
PA
01
—
12945MD017216E
HEALTH PARTNERS
PA
01
—
50039
AETNA
PA
01
—
CA1374
RAILROAD MEDICARE
PA
Enumeration date
11/28/2005
Last updated
01/16/2012
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