Individual
MR. EDWARD F JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 MAIN ST, OLEAN, NY 14760-1514
(716) 372-7600
(716) 372-9680
Mailing address
516 MAIN ST, OLEAN, NY 14760-1514
(716) 372-7600
(716) 372-9680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1257921
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00722638
—
NY
Enumeration date
04/12/2006
Last updated
02/06/2013
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