MR. Paul Alan Jordan

NPI #1700117835 in Philadelphia, Pennsylvania

Provider Information

NPI Number
1700117835
Entity Type
Individual
Name
MR. Paul Alan Jordan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Jan 29, 2010
Last Updated
Jan 29, 2010

Practice Location

Address
533 PELHAM RD
Address 2
533 PELHAM ROAD
ZIP Code
19119-4002
Phone
(215) 713-4347

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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