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1831121607
MARK LOUIS JORDAN
NEWARK, NJ
NPI
1831121607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: NJ 25MA07557800)
Enumeration Date
2006-07-06
Last Update Date
2009-08-21
Business Address
-- MARK LOUIS JORDAN M.D.
90 BERGEN ST DOC 2300
NEWARK, NJ 07103-2425
Phone number: 973-972-2888
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Mailing Address
-- MARK LOUIS JORDAN M.D.
30 BERGEN ST ADMC 12 1205
NEWARK, NJ 07107-3000
Phone number:
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