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Contact Information

WILLIAM P JORDAN MD FACS
175 EAST BROWN STREET SUITE 107 BUILDING 1
EAST STROUDSBURG, PA18301
 Phone: 570-421-8948
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WILLIAM P JORDAN MD FACS · (Female)

NPI # 1306038625
Status Active
Credentials
Entity Individual
Enumeration date 08/10/2007
Last updated 04/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD030238L
  • PA Medicaid 0006431270001
  • Other 076889 BCBS
  • Other 1626362 BCBS
  • Other P018087 CHAMPUS
  • Other 073897 FIRST PRIORITY
  • Other 6000863 GHI
  • Other 2Y9564 HEALTHNET
  • Other P1262402 OXFORD
  • Other 10929414 UNITED HEALTHCARE
  • PA Other 0061042 ETNA
  • PA Other 73907 UNISON
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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