Individual
DR. GEORGE REGINALD JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1879 MADISON AVE, 6TH FLR, NEW YORK, NY 10035-2709
(212) 423-4500
(212) 423-1404
Mailing address
1879 MADISON AVE, 6TH FLR, NEW YORK, NY 10035-2709
(212) 423-4500
(212) 423-1404
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
099834
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00427110
—
NY
Enumeration date
11/03/2006
Last updated
10/11/2007
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