SHANE JORDAN

BROOKLINE, MA
NPI1881132132
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MA  PA6034)
Enumeration Date2017-02-07
Last Update Date2017-02-07
Business Address
-- SHANE JORDAN PA
1285 BEACON ST
BROOKLINE, MA 02446-5284
Phone number: 617-751-6205
Mailing Address
-- SHANE JORDAN PA
304 WINTER ST
NORWELL, MA 02061-1402
Phone number:
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