Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD045804 | DC |
N | 208600000X | Surgeon | MD045804 | DC |
Y | 2086S0102X | Surgical Critical Care | MD045804 | DC |
NPI | 1093914228 |
---|---|
Provider Name | Dr. Jordan Mitchell Estroff |
First Address | Washington, DC 20037-3201 |
Second Address | Washington, DC 20037-3201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2007 |
Last Update Date | 29/12/2021 |