NPI 1043010879

Anthony Jordan

Practitioner Case Manager/Care Coordinator Brockton, MA

Practice location

Address: 54 N Main St, Brockton, MA 02301-3907
Phone: (774) 539-5406

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1043010879
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2025
Record last updated: 19 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.