Individual
CALEB LEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 CENTRE ST, ROSLINDALE, MA 02131-1000
(617) 363-8000
(617) 363-8929
Mailing address
1200 CENTRE ST, ROSLINDALE, MA 02131-1000
(617) 363-8614
(617) 363-8929
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
R4249
TX
2084P0800X
Psychiatry Physician
Primary
T286174
MA
Other
Enumeration date
03/24/2015
Last updated
05/18/2021
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