Individual
MARK JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 W FAYETTE ST, BALTIMORE, MD 21201-1781
(607) 873-3035
Mailing address
520 W FAYETTE ST, BALTIMORE, MD 21201-1781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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