Healthcare Provider Details

I. General information

NPI: 1336136456
Provider Name (Legal Business Name): CHRISTOPHER S JONCAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 PLYMOUTH AVE STE 701
FALL RIVER MA
02721-4300
US

IV. Provider business mailing address

203 PLYMOUTH AVE STE 701
FALL RIVER MA
02721-4300
US

V. Phone/Fax

Practice location:
  • Phone: 508-235-5445
  • Fax: 508-985-2001
Mailing address:
  • Phone: 508-235-5445
  • Fax: 508-985-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD09625
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number150167
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: