Individual
WILLIAM J JORDAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 MIFFLIN AVE, SCRANTON, PA 18503-1982
(570) 342-3145
(570) 344-1309
Mailing address
2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131
(667) 354-5528
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OS010538L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001788530
—
PA
01
—
180039161
RAILROAD MEDICARE
—
01
—
506554
AETNA
—
01
—
73290
GEISINGER HEALTH PLAN
—
01
—
815340
FIRST PRIORITY HEALTH
—
01
—
JO860893
HIGH MARK BLUE SHIELD
—
Enumeration date
08/31/2006
Last updated
03/22/2026
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