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
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19119-4002
- Phone
- (215) 713-4347
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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