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Dr. Andre Ryan Jordan, MD,PHD
Student in an Organized Health Care Education/Training Program in Bridgeport, Connecticut
NPI 1588414668

Andre Ryan Jordan is a Student in an Organized Health Care Education/Training Program based in Bridgeport, CT. Andre Ryan Jordan practices in Bridgeport, CT and has the professional credentials of MD,PHD. The NPI Number for Andre Ryan Jordan is 1588414668 and holds a License No. (Connecticut).

The current practice location address for Andre Ryan Jordan is 2800 Main St, Bridgeport, CT and can be reached out via phone at 203-576-6000.

Location: 2800 Main St, Bridgeport, CT, 06606-4292
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588414668
Provider Name
Andre Ryan Jordan
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
2800 Main St, Bridgeport, CT, 06606-4292
Phone Number
203-576-6000
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2800 Main St
City
Bridgeport
State
Connecticut
Zip
06606-4292
Phone Number
203-576-6000
Fax Number
person
Provider Business Mailing Address Details
Address
2800 Main St
City
Bridgeport
State
Connecticut
Zip
06606-4292
Phone Number
203-576-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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