Whalio Doctors

NPI 1831121607

Mark Louis Jordan, MD

Practitioner Urology Physician Newark, NJ

Practice location

Address
90 Bergen St Doc 2300, Newark, NJ 07103-2425
Phone
(973) 972-2888
Fax
(973) 972-2892
Mailing address
30 Bergen St Admc 12 1205, Newark, NJ 07107-3000

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 25MA07557800 (NJ)

Registry record

NPI
1831121607
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Jul 2006
Record last updated
21 Aug 2009

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.