Healthcare Provider Details

I. General information

NPI: 1790312700
Provider Name (Legal Business Name): DAVIS JONES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 QUARRY RD STE 400
TRUMBULL CT
06611-4877
US

IV. Provider business mailing address

112 QUARRY RD STE 400
TRUMBULL CT
06611-4877
US

V. Phone/Fax

Practice location:
  • Phone: 203-333-8800
  • Fax:
Mailing address:
  • Phone: 203-333-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number83637
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: