Candice Dior Jordan
Emergency Physician
5601 Loch Raven Blvd
Baltimore
, Maryland 21239-2945
Candice Dior Jordan
Emergency Physician
5601 Loch Raven Blvd
Baltimore
, Maryland 21239-2945
(703) 558-1544
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Candice Dior Jordan
- Po Box 418283
- Boston, MA
- Zip : 02241-8283
- Phone : (703) 558-1544
Second Address
- Candice Dior Jordan
- 5601 Loch Raven Blvd
- Baltimore, MD
- Zip : 21239-2945
- Phone : (855) 633-5655
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | D81139 | MD |
National Provider Identifier
| NPI | 1013283050 |
|---|---|
| Provider Name | Candice Dior Jordan |
| First Address | Boston, MA 02241-8283 |
| Second Address | Baltimore, MD 21239-2945 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2012 |
| Last Update Date | 11/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.