Organization
EDWARD F JORDAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD F JORDAN MD (PRESIDENT)
(716) 372-7600
Entity
Organization
Contact information
Practice address
516 MAIN ST, OLEAN, NY 14760-1514
(716) 372-7600
(716) 372-9680
Mailing address
516 MAIN ST, OLEAN, NY 14760-1514
(716) 372-7600
(716) 372-9680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125792
NY
207RX0202X
Medical Oncology Physician
125792
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00722638
—
NY
Enumeration date
11/23/2007
Last updated
02/08/2013
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