Individual
DR. JO-ANN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., FAAP
Contact information
Practice address
272 BROAD ST, RED BANK, NJ 07701-2003
(732) 741-0456
(732) 219-9477
Mailing address
272 BROAD ST, RED BANK, NJ 07701-2003
(732) 741-0456
(732) 219-9477
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07405600
NJ
Other
Enumeration date
10/05/2005
Last updated
07/16/2007
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