Jordan Ditchek M.D.

NPI 1063415248 - Radiology - 2085B0100X

NPI Details
NPI 1063415248
Gender Male
Enumeration Date 05/23/2005
Last Updated 11/20/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
3501 JOHNSON ST
HOLLYWOOD FL, 33021-5421, US
Phone (954) 987-2000
Fax (954) 437-6628
Business Location
9050 PINES BLVD
STE 200
PEMBROKE PINES FL, 33024-6456, US
Phone (954) 437-4800
Fax (954) 437-6628
Toxanomy
Taxonomy Code 2085B0100X
License State Florida
License Number ME81781
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According to our database, Dr. Jordan Ditchek M.D. NPI is 1063415248, taxonomy code is 2085B0100X and license number is ME81781, license state is located at Florida. Jordan Ditchek M.D. physically located at 3501 Johnson St, Hollywood FL, 33021-5421. NPI Number Jordan Ditchek M.D. has the Individual type.

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1063415248 NPI number is provided on an as is basis without warranty of any kind. 1063415248 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan Ditchek M.D. are for informational purposes only.