Individual
SUSAN J JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
85 SEYMOUR ST STE 200, HARTFORD, CT 06106-5509
(860) 246-6589
(860) 560-2849
Mailing address
111 FOUNDERS PLZ STE 400, EAST HARTFORD, CT 06108-3240
(860) 289-3375
(860) 783-5733
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
51361
CT
2085R0202X
Diagnostic Radiology Physician
81769
MA
Other
Enumeration date
05/04/2006
Last updated
03/17/2018
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