Individual
ULRICH PETER JORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, PH 12 - ROOM 134, NEW YORK, NY 10032-3720
(212) 305-9264
Mailing address
622 W 168TH ST, PH 12 - ROOM 134, NEW YORK, NY 10032-3720
(212) 305-9264
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
201866
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01623532
—
NY
Enumeration date
08/31/2005
Last updated
06/23/2011
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