Individual
ELLEN CATHERINE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
503 MUIR ST STE A, CAMBRIDGE, MD 21613-1848
(410) 228-4045
(410) 221-6457
Mailing address
503 MUIR ST STE A, CAMBRIDGE, MD 21613-1848
(410) 228-4045
(410) 221-6457
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005546
MD
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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