Individual
MR. ROBERT HENRY JORDAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
292 LONG RIDGE RD STE 104, STAMFORD, CT 06902-1627
(203) 276-8575
(203) 276-8576
Mailing address
292 LONG RIDGE RD STE 104, STAMFORD, CT 06902-1627
(203) 276-8575
(203) 276-8576
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
10452
CT
Other
Enumeration date
01/16/2023
Last updated
11/15/2023
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