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Individual

CARRIE JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5000 WOODLAND AVE, PHILADELPHIA, PA 19143-5137
(215) 726-9807
(215) 726-0424
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD417187
PA

Other

Enumeration date
01/11/2007
Last updated
12/18/2008
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