Individual
JORDAN CHARLES TEMPLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4274
(215) 316-5151
Mailing address
2039 SAINT ALBANS ST, PHILADELPHIA, PA 19146-1334
(610) 737-6228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061977
PA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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