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1396314100
JORDAN L LASTRA
CAMDEN, NJ
NPI
1396314100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MT222893)
Enumeration Date
2021-06-24
Last Update Date
2024-11-22
Business Address
Dr. JORDAN L LASTRA MD
1600 HADDON AVE FL 6
CAMDEN, NJ 08103-3101
Phone number: 856-757-3500
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Mailing Address
Dr. JORDAN L LASTRA MD
301 LIPPINCOTT DR STE 410
MARLTON, NJ 08053-4197
Phone number: 856-355-0340
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