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Individual

DR. JORDAN F HEBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
19 FRIENDSHIP ST UNIT 240, NEWPORT, RI 02840-2200
(401) 619-3930
(401) 619-3932
Mailing address
15 LASALLE SQUARE, PROVIDENCE, RI 02903
(401) 444-3239

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO00985
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
703887
MEDICARE
MD
05
886002500
MD
Enumeration date
07/20/2013
Last updated
11/21/2025
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