MEDICARE: DR. CATHIE TINGEY JONES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP3000X	Pediatric Anesthesiology Physician	223870	MA
2	207L00000X	Anesthesiology Physician	177170	OR
3	207LP3000X	Pediatric Anesthesiology Physician	177170	OR

General Provider Information

NPI Number	:	1477503712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHIE TINGEY JONES MD

Provider Business Mailing Address
First Line	:	300 LONGWOOD AVE # BADER3
Second Line	:	DEPT OF ANESTHESIOLOGY, PERIOPERATIVE & PAIN MEDICINE
City	:	BOSTON
State	:	MA
Zip	:	02115-5724
Country	:	US
Telephone Number	:	617-355-7737
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 LONGWOOD AVE # BADER3
Second Line	:	DEPT OF ANESTHESIOLOGY, PERIOPERATIVE & PAIN MEDICINE
City	:	BOSTON
State	:	MA
Zip	:	02115-5724
Country	:	US
Telephone Number	:	617-355-7737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	12/16/2016

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