Individual
ANTHONY JOSEPH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2407 REICHART RD, BLOOMSBURG, PA 17815-6001
(570) 784-8303
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054771
PA
363AM0700X
Medical Physician Assistant
MA054771
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203577
MEDICARE PTAN
—
Enumeration date
12/22/2010
Last updated
08/10/2020
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