Provider Demographics
NPI:1447357579
Name:JONES, GEORGE J (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:J
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1307 FEDERAL ST
Mailing Address - Street 2:STE 300
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4769
Mailing Address - Country:US
Mailing Address - Phone:412-281-4492
Mailing Address - Fax:412-281-2114
Practice Address - Street 1:400 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3329
Practice Address - Country:US
Practice Address - Phone:724-884-0883
Practice Address - Fax:724-884-0881
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD015664E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB96820Medicare UPIN
PA047141MLCMedicare PIN