Individual
DR. JORDAN SAMUEL GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 S 10TH ST, 10TH FLOOR, MAIN BLDG., PHILADELPHIA, PA 19107-5244
(215) 955-6000
Mailing address
110 IRVING ST NW # BA-94, WASHINGTON, DC 20010-3017
(202) 877-6429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT199191
PA
2085R0202X
Diagnostic Radiology Physician
Primary
D0082749
MD
2085R0202X
Diagnostic Radiology Physician
D90151
MD
2085R0202X
Diagnostic Radiology Physician
MD044803
DC
2085R0202X
Diagnostic Radiology Physician
MD456112
PA
Other
Enumeration date
06/18/2011
Last updated
04/25/2020
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