Joseph Dedrick Jordan M.D., PH.D.

NPI 1033261557 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1033261557
Gender Male
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
600 N WOLFE ST
PATHOLOGY 509
BALTIMORE MD, 21287-0005, US
Phone (410) 955-6626
Fax (410) 614-1008
Business Location
1020 ADCOCK RD
LUTHERVILLE MD, 21093-4801, US
Phone (410) 955-6626
Fax (410) 614-1008
Toxanomy
Taxonomy Code 2084N0400X
License State Maryland
License Number P18272
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According to our database, Dr. Joseph Dedrick Jordan M.D., PH.D. NPI is 1033261557, taxonomy code is 2084N0400X and license number is P18272, license state is located at Maryland. Joseph Dedrick Jordan M.D., PH.D. physically located at 600 N Wolfe St, Baltimore MD, 21287-0005. NPI Number Joseph Dedrick Jordan M.D., PH.D. has the Individual type.

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1033261557 NPI number is provided on an as is basis without warranty of any kind. 1033261557 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Dedrick Jordan M.D., PH.D. are for informational purposes only.