Jordan Physician Associates, INC.
Family Medicine in Plymouth, MA. Organization (NPI-2).
NPI number1538145131
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1538145131
- Entity type
- Organization (NPI-2)
- Legal business name
- Jordan Physician Associates, INC.
- Organization subpart
- No
- Enumeration date
- Dec 16, 2005
- Certification date
- Dec 15, 2021
- Last updated
- Dec 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | |
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | |
| 2085U0001X | Radiology, Diagnostic Ultrasound | – | – | |
| 208600000X | Surgery | – | – | |
| 2086S0129X | – | – |
Practice location
275 Sandwich StPlymouth, MA 02360-2183
Phone 508-830-2401 · Fax 508-830-1131
Mailing address
36 Cordage Park CirSuite 317
Plymouth, MA 02360-7331
Phone 508-830-2428 · Fax 508-830-2502
Authorized official
Kevin Coughlin
President
5087462000
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