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Contact Information

JORDAN PHYSICIAN ASSOCIATES, INC.
275 SANDWICH ST
PLYMOUTH, MA02360-2183
 Phone: 508-830-2466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JORDAN PHYSICIAN ASSOCIATES INC · (Female)

NPI Number 1194263186
Status Active
Credentials
Entity Individual
Enumeration date 02/09/2017
Last updated 02/19/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 110072193Z
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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