Basic Information
| Provider Information | |||||||||
| NPI: | 1750325056 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GRAHAM P JONES, MD, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 152 HIMMELIEN RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | MEDFORD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080559316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6096547117 | ||||||||
| FaxNumber: | 6096548555 | ||||||||
| Practice Location | |||||||||
| Address1: | 152 HIMMELIEN RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | MEDFORD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080559316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6096547117 | ||||||||
| FaxNumber: | 6096548555 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2006 | ||||||||
| LastUpdateDate: | 05/19/2008 | ||||||||
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| AuthorizedOfficialLastName: | JONES | ||||||||
| AuthorizedOfficialFirstName: | GRAHAM | ||||||||
| AuthorizedOfficialMiddleName: | PAUL | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6096547117 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 25MA01999600 | NJ | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.