Individual
TRISHA K JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4755 OGLETOWN STANTON RD, CCHS PEDIATRIC HOSPITALISTS, NEWARK, DE 19718-0001
(302) 733-6500
Mailing address
PO BOX 6001, ACADEMIC AFFAIRS CHRISTIANA HOSPITAL, NEWARK, DE 19718-0001
(302) 733-4200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C10007721
DE
208000000X
Pediatrics Physician
Primary
C10007721
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C10007721
STATE OF DE MEDICAL LICEN
DE
Enumeration date
07/18/2006
Last updated
02/24/2017
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