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NPI Code Detail

MEDICARE: JANINE M JORDAN MD

MEDICARE:   JANINE M JORDAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianC10004648DE

General Provider Information

NPI Number : 1164400289
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANINE M JORDAN MD
Provider Business Mailing Address
First Line : PO BOX 30170
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-7170
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 501 W 14TH ST
Second Line : WILMINGTON HOSPITAL
City : WILMINGTON
State : DE
Zip : 19899
Country : US
Telephone Number : 302-428-4900
Fax Number : 302-428-2663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 11/16/2011

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Directions to “ JANINE M JORDAN MD” Practice Location

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