Individual
MATTHEW JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-2000
Mailing address
PO BOX 827413, PHILADELPHIA, PA 19182-7413
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D62793
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20047191
AMERIHEALTH MERCY HEALTH
MD
01
—
60050001
DC BLUE CROSS
MD
01
—
60059303
BLUE CROSS
MD
01
—
P00270630
RAILROAD MEDICARE
MD
Enumeration date
06/14/2006
Last updated
02/19/2008
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