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Justin Thomas Jordan, MD
Neurology Physician in Boston, Massachusetts
NPI 1699905638

Justin Thomas Jordan is a Neurology Physician based in Boston, MA and is specialized in Neurology. Justin Thomas Jordan practices in Boston, MA and has the professional credentials of MD. The NPI Number for Justin Thomas Jordan is 1699905638 and holds a License No. (Massachusetts).

The current practice location address for Justin Thomas Jordan is 55 Fruit St, Boston, MA and can be reached out via phone at 617-724-8770.

Location: 55 Fruit St, Boston, MA, 02114-2621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699905638
Provider Name
Justin Thomas Jordan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Boston, MA, 02114-2621
Phone Number
617-724-8770
Fax Number
Provider Enumeration Date
07/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2621
Phone Number
617-724-8770
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2621
Phone Number
617-724-8770
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
261017 (Massachusetts)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
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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