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Organization

WILLIAM P JORDAN MD FACS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM PETER JORDAN MD (PHYSICIAN)
(570) 421-8948
Entity
Organization

Contact information

Practice address
175 EAST BROWN STREET SUITE 107 BUILDING 1, EAST STROUDSBURG, PA 18301
(570) 421-8948
Mailing address
175 EAST BROWN STREET, SUITE 107 BUILDING 1, EAST STROUDSBURG, PA 18301
(570) 421-8948
(570) 424-7370

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD030238L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006431270001
PA
01
0061042
ETNA
PA
01
073897
FIRST PRIORITY
01
076889
BCBS
01
10929414
UNITED HEALTHCARE
01
1626362
BCBS
01
2Y9564
HEALTHNET
01
6000863
GHI
01
73907
UNISON
PA
01
P018087
CHAMPUS
01
P1262402
OXFORD
Enumeration date
08/10/2007
Last updated
04/20/2008
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