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Individual

ERIN JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
40 BEY LEA RD, TOMS RIVER, NJ 08753-2989
(732) 341-0720
Mailing address
116 E 66TH ST, NEW YORK, NY 10065-6547
(646) 498-9162

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26NJ00766300
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00766300
NJ
363LP0200X
Pediatric Nurse Practitioner
F382772-1
NY

Other

Enumeration date
09/11/2017
Last updated
11/22/2024
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