TIMOTHY W JORDAN OD

Dr TIMOTHY W JORDAN OD is a male medical professional, specializing in Optometry. He graduated in 1997 from New England College Of Optometry.

Contact

35 FRESH RIVER RD
EPPING
NH
030422225

Tel: 6036795147

TIMOTHY W JORDAN OD Information

Npi 1255427068
Pac Id 1850315615
Professional Enrollment Id I20060119000308
Last Name JORDAN
First Name TIMOTHY
Middle Name W
Suffix
Gender M
Credential OD
Medical School Name NEW ENGLAND COLLEGE OF OPTOMETRY
Graduation Year 1997
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 35 FRESH RIVER RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EPPING
State NH
Zip Code 030422225
Phone Number 6036795147
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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