Individual
MARK JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2546 BALLTOWN RD, SUITE 300, SCHENECTADY, NY 12309-1079
(518) 377-8184
(518) 374-5918
Mailing address
2546 BALLTOWN RD, SUITE 300, SCHENECTADY, NY 12309-1079
(518) 377-8184
(518) 374-5918
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
185349
NY
207RI0011X
Interventional Cardiology Physician
Primary
185349
NY
Other
Enumeration date
06/02/2006
Last updated
08/15/2016
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