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Individual

PAUL T JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 527-5000
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA02321200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1899201
NJ
Enumeration date
09/27/2006
Last updated
07/08/2007
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