Individual
JORGE DANIEL OLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 WASHINGTON ST FL 4, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02111-1552
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
232461
MA
2085R0202X
Diagnostic Radiology Physician
Primary
44403
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612509
—
AZ
Enumeration date
04/27/2011
Last updated
07/27/2011
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