Individual
AVRA JORDANO-ALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
59 ORNAC, SUITE 1, CONCORD, MA 01742-3317
(978) 369-7627
(978) 371-2240
Mailing address
59 ORNAC, SUITE 1, CONCORD, MA 01742-3317
(978) 369-7627
(978) 371-2240
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
158912
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3195759
—
MA
Enumeration date
08/16/2005
Last updated
07/08/2007
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