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Individual

JORDAN DEANER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
840 WALNUT ST STE 1020, PHILADELPHIA, PA 19107-5109
(800) 331-6634
Mailing address
4060 BUTLER PIKE STE 200, PLYMOUTH MEETING, PA 19462-1560
(800) 331-6634

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2020-00409
NC
207W00000X
Ophthalmology Physician
35.135734
OH
207W00000X
Ophthalmology Physician
Primary
MD476232
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD476232
PA
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
MD476232
PA

Other

Enumeration date
05/14/2015
Last updated
08/17/2022
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