Individual
DR. LAWRENCE JOSEPH JORDAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 PLAINSBORO ROAD, SUITE 400, PLAINSBORO, NJ 08536-1913
(609) 936-9100
(609) 936-9700
Mailing address
5 PLAINSBORO ROAD, SUITE 400, PLAINSBORO, NJ 08536-1913
(609) 936-9100
(609) 936-9700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05103400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2486504
—
NJ
Enumeration date
10/04/2005
Last updated
03/14/2013
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