Individual
DR. KAREN TEREZ JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1000 WHITE HORSE ROAD, SUITE 902 GLENDALE EXECUTIVE CAMPUS, VOORHEES, NJ 08043-4415
(856) 309-1363
(856) 309-1369
Mailing address
P.O. BOX 1584, MOUNT LAUREL, NJ 08054-4840
(856) 309-1363
(856) 309-1369
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA05031400
NJ
2084P0800X
Psychiatry Physician
MD039046E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01116898334678
—
NJ
01
—
25MA05031400
MEDICAL LICENSE NUMBER
NJ
05
—
5398509
—
NJ
01
—
MD039046E
MEDICAL LICENSE NUMBER
PA
Enumeration date
05/21/2007
Last updated
12/19/2009
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