Individual
JORDAN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-6356
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-2433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT-204500
PA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD458369
PA
Other
Enumeration date
05/31/2013
Last updated
09/07/2021
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