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Organization
KATHLEEN JORDAN MD PC
Active
Organization
KATHLEEN JORDAN MD PC
Active
Parent organization
KATHLEEN JORDAN MD PC
Other names
Tia MH URL
Organization subpart
Yes
Provider details
NPI number
Legal business name
KATHLEEN JORDAN MD PC
Authorized official
MR. TOM BARNES (VP, PAYER STRATEGY & REVENUE CYCLE)
(973) 943-0967
Entity
Organization
Contact information
Practice address
1500 MISSION ST, SAN FRANCISCO, CA 94103-2513
(332) 203-0933
Mailing address
30 E 23RD ST STE 700, NEW YORK, NY 10010-4408
(332) 203-0933
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
03/17/2021
Last updated
09/22/2021
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