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General NPI Number Information
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NPI Number | 1477544534
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Entity Type | Individual
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Provider Name | DAVID MICHAEL JONES MD
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Gender | Male
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 725 NORTH ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-4109
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Country | US
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Telephone | 413-447-2569
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 781
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City | LEWISTON
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State | ME
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Zip | 04243-0781
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Country | US
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Telephone | 413-447-9049
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 285755
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 285755
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 225214
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License Number State | NY
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