Individual
BRENDA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 N CHARLES ST, BALTIMORE, MD 21204-6808
(443) 527-7487
Mailing address
6701 N CHARLES ST, BALTIMORE, MD 21204-6808
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
2012015093
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0097535
MD
Other
Enumeration date
08/30/2012
Last updated
04/21/2025
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