Individual
MR. PAUL ALAN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
533 PELHAM RD, 533 PELHAM ROAD, PHILADELPHIA, PA 19119-4002
(215) 713-4347
Mailing address
533 PELHAM RD, 533 PELHAM ROAD, PHILADELPHIA, PA 19119-4002
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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