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NPI Code Detail

MEDICARE: BARBARA JONES

MEDICARE:   BARBARA  JONES
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1952960429
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA JONES
Provider Business Mailing Address
First Line : 55 LAKE AVE N # 4440
Second Line :
City : WORCESTER
State : MA
Zip : 01655-0002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 LAKE AVE N # 4440
Second Line :
City : WORCESTER
State : MA
Zip : 01655-0002
Country : US
Telephone Number : 617-669-2483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2019
Last Update Date : 06/10/2019

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Directions to “ BARBARA JONES ” Practice Location

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