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Jordan O Booty, MD
Diagnostic Radiology Physician in Philadelphia, Pennsylvania
NPI 1336384189

Jordan O Booty is a Diagnostic Radiology Physician based in Philadelphia, PA and is specialized in Diagnostic Radiology. Jordan O Booty practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Jordan O Booty is 1336384189 and holds a License No. MD451981 (Pennsylvania).

The current practice location address for Jordan O Booty is 3400 Spruce St, Philadelphia, PA and can be reached out via phone at 215-662-3000.

Location: 3400 Spruce St, Philadelphia, PA, 19104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336384189
Provider Name
Jordan O Booty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3400 Spruce St, Philadelphia, PA, 19104
Phone Number
215-662-3000
Fax Number
Provider Enumeration Date
12/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104
Phone Number
215-662-3000
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Spruce St
City
Philadelphia
State
Pennsylvania
Zip
19104
Phone Number
215-662-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD451981 (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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