Individual
DR. JORDAN A KREIDBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6129
Mailing address
18 CLUBHOUSE LN, WAYLAND, MA 01778-3802
(508) 655-1850
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
72086
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006057
—
MA
Enumeration date
01/30/2006
Last updated
07/08/2007
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