Individual
DR. GARY CHARLES JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 BROCKTON AVE, ABINGTON, MA 02351-2186
(781) 878-1700
(781) 871-4375
Mailing address
14 JASON LN, MANSFIELD, MA 02048-3449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
213123
MA
207R00000X
Internal Medicine Physician
MD08294
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007009305
—
RI
01
—
04-05379
UNITED HEALTHCARE
RI
05
—
110078711A
—
MA
01
—
2643-9
BLUE CROSS
RI
01
—
2690610
AETNA
RI
01
—
27633
NEIGHBORHOOD HEALTH PLAN
RI
01
—
401734
BLUE CHIP
RI
01
—
404565
TUFTS HEALTH PLAN
RI
01
—
5631596001
CIGNA
RI
01
—
AA33702
HARVARD HEALTH PLAN
RI
01
—
MD08294
BLUE CHOICE
RI
Enumeration date
12/12/2006
Last updated
07/26/2013
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