Individual
DANIEL ROBERT JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 SUNSET RD, SUITE 101, BURLINGTON, NJ 08016-3645
(609) 387-9242
(609) 387-1948
Mailing address
811 SUNSET RD, SUITE 101, BURLINGTON, NJ 08016-3645
(609) 387-9242
(609) 387-1948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07115000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0807554000
AMERIHEALTH, KEYSTONE, IBC
—
01
—
1124862
HORIZON NJ HEALTH
—
01
—
2464681
AETNA
—
05
—
8351902
—
NJ
Enumeration date
10/10/2006
Last updated
04/08/2013
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