Active NPIIndividual providerSole proprietor

Mr. Jordan J Mardirossian, ATC

Specialist/Technologist, Athletic Trainer in Tewksbury, Massachusetts

NPI Number1548850795
Practice location
43 Algonquin Dr, Tewksbury, MA 01876-2168
Fax
—
Last updated
January 21, 2021

Jordan Joseph Mardirossian is a Specialist/Technologist, Athletic Trainer based in Tewksbury, MA. Jordan Joseph Mardirossian practices in Tewksbury, MA and has the professional credentials of ATC. The NPI Number for Jordan Joseph Mardirossian is 1548850795. The current practice location address for Jordan Joseph Mardirossian is 43 Algonquin Dr, Tewksbury, MA 01876-2168 and can be reached out via phone at 412-999-1056.

Provider Profile Details

NPI Number
1548850795
Provider Name
Jordan Joseph Mardirossian
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
43 Algonquin Dr, Tewksbury, MA 01876-2168
Phone Number
412-999-1056
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
January 21, 2021
Last Update Date
January 21, 2021
Certification Date
January 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Algonquin Dr
Tewksbury, MA 01876-2168
Zip
01876-2168
Phone Number
412-999-1056
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
43 Algonquin Dr
Tewksbury, MA 01876-2168
City
Tewksbury
State
MA
Zip
01876-2168

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jordan J Mardirossian, ATC?

The NPI number of Mr. Jordan J Mardirossian, ATC is 1548850795. It was assigned on January 21, 2021 and is currently active in the NPPES registry.

What is the specialty of Mr. Jordan J Mardirossian, ATC?

Mr. Jordan J Mardirossian, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Mr. Jordan J Mardirossian, ATC practice?

The practice location is 43 Algonquin Dr, Tewksbury, MA 01876-2168. The office can be reached at 412-999-1056 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548850795 directly on the NPPES registry website.

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