Mark Louis Jordan is a Urology in Newark, New Jersey. Mark Louis Jordan practices all healthcare services and medical treatments related to Urology. The NPI Number for Mark Louis Jordan is 1831121607. The last update date is 2009-08-21.
Mark Louis Jordan's current location address is 90 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739722888 and fax number 9739722892. The mailing address for Mark Louis Jordan is 90 Bergen St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Louis Jordan |
|---|---|
| Address | 90 Bergen St, Newark, New Jersey |
| Phone Number | 9739722888 |
| Fax Number | 9739722892 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1831121607 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2009-08-21 |
Provider Mailing Address Detail
| Address | 90 Bergen St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71032425 |
| Phone Number | 9739722888 |
| Fax Number | 9739722892 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 25MA07557800 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6451608 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Louis Jordan by the Centers for Medicare & Medicaid Services?
The Mark Louis Jordan has been issued the NPI (National Provider Identifier) 1831121607, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark Louis Jordan is geographically located?
The Mark Louis Jordan is physically situated at the following location: 90 Bergen St, Newark, NJ, 71032425.
What is Mark Louis Jordan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Louis Jordan is Urology, and the taxonomy classification code that categorizes this area of expertise is 208800000X.
On what date did the Mark Louis Jordan receive its 1831121607 assignment from the Centers for Medicare & Medicaid Services?
The Mark Louis Jordan was assigned its 1831121607 by the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the Mark Louis Jordan's information last updated?
The Mark Louis Jordan's information was last updated on 2009-08-21.