Individual
ANTHONY JORDAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 N MAIN ST, BROCKTON, MA 02301-3907
(774) 539-5406
Mailing address
54 N MAIN ST, BROCKTON, MA 02301-3907
(774) 539-5406
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MA
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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