Individual
DR. CHARLES E JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 PRE EMPTION RD, SUITE 1, GENEVA, NY 14456
(315) 789-2849
(315) 789-2866
Mailing address
751 PRE EMPTION RD, SUITE 1, GENEVA, NY 14456
(315) 789-2849
(315) 789-2866
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1316421
NY
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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