Jordan, Gary Charles
Jordan, Gary Charles is an individual health care provider with primary practice located at 360 Brockton Ave , Abington MA 02351-2186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jordan, Gary Charles can be contacted via phone (781) 878-1700.Contact Information
Primary practice address
360 Brockton Ave
Abington MA 02351-2186
Phone: (781) 878-1700
Fax: (781) 871-4375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD08294 | Rhode Island |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 213123 | Massachusetts |
Profile Details
| NPI number | 1659431146 |
|---|---|
| LBN Legal business name | Jordan, Gary Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jul 26th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659431146 | NPPES |
| Rhode Island | MEDICAID | 007009305 | |
| Rhode Island | Other | 2690610 | |
| Rhode Island | Other | 401734 | |
| Rhode Island | Other | 5631596001 | |
| Rhode Island | Other | MD08294 | |
| Rhode Island | Other | 404565 | |
| Rhode Island | Other | AA33702 | |
| Rhode Island | Other | 04-05379 | |
| Rhode Island | Other | 2643-9 | |
| Rhode Island | MEDICAID | 110078711A | |
| Rhode Island | Other | MD08294 | |
| Rhode Island | Other | 27633 |
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