Individual
MR. JORDAN CIRIECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 MEADOW LN, WOODCLIFF LAKE, NJ 07677-7811
(201) 913-4688
Mailing address
8 MEADOW LN, WOODCLIFF LAKE, NJ 07677-7811
(201) 913-4688
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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