Individual
EDWARD JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2755 CAROLE LN, ALLENTOWN, PA 18104-9683
(610) 737-3636
Mailing address
2755 CAROLE LN, ALLENTOWN, PA 18104-9683
(610) 737-3636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD042808E
PA
207R00000X
Internal Medicine Physician
Primary
MD042808E
PA
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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