Healthcare Provider Details

I. General information

NPI: 1548792583
Provider Name (Legal Business Name): ANITA BONSU JONES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2017
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 ALBERT RD FL 3
BRANDYWINE MD
20613-3035
US

IV. Provider business mailing address

7450 ALBERT RD FL 3
BRANDYWINE MD
20613-3035
US

V. Phone/Fax

Practice location:
  • Phone: 301-888-2233
  • Fax: 301-997-1489
Mailing address:
  • Phone: 203-673-9565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberD0102848
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD20000113
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: