Individual
ANDREW MARSHALL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVENUE BOX SURG, ROCHESTER, NY 14642-0001
(585) 275-2723
Mailing address
3461 WOODLANDS CIR, MACEDON, NY 14502-9307
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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