Earlene Jordan M.D.

NPI 1023048873 - Pediatrics - 208000000X

NPI Details
NPI 1023048873
Gender Female
Enumeration Date 07/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2401 BLUERIDGE AVE STE 210
WHEATON MD, 20902-4517, US
Phone (301) 933-6440
Fax (301) 933-5923
Business Location
2401 BLUERIDGE AVE STE 210
WHEATON MD, 20902-4517, US
Phone (301) 933-6440
Fax (301) 933-5923
Toxanomy
Taxonomy Code 208000000X
License State Maryland
License Number D36653
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According to our database, Dr. Earlene Jordan M.D. NPI is 1023048873, taxonomy code is 208000000X and license number is D36653, license state is located at Maryland. Earlene Jordan M.D. physically located at 2401 Blueridge Ave Ste 210, Wheaton MD, 20902-4517. NPI Number Earlene Jordan M.D. has the Individual type.

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1023048873 NPI number is provided on an as is basis without warranty of any kind. 1023048873 is maintained by the National Plan & Provider Enumeration System. The contents of Earlene Jordan M.D. are for informational purposes only.