National Provider Identifier

Charles E Jordan, MD

Charles E Jordan, MD is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician in Geneva, NY and a listed phone number of (315) 789-2849.

NPI 1568561462Geneva, NYOrthopaedic Surgery Physician

Profile Overview

NPI
1568561462
Provider Type
Individual
Primary Specialty
Orthopaedic Surgery Physician
Enumeration Date
September 21, 2006
Last Updated
July 08, 2007

Practice Location

  • 751 Pre Emption RD
  • Suite 1
  • Geneva, NY 14456

Phone: (315) 789-2849

Specialties

  • Orthopaedic Surgery Physician (207X00000X)
Full Record
NPI
1568561462
Entity Type
Individual
Last Name
Jordan
First Name
Charles
Middle Name
E
Name Prefix
Dr.
Credential
MD
Mailing Street Address
751 Pre Emption RD
Mailing Address Line 2
Suite 1
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456
Mailing Country
US
Mailing Phone
(315) 789-2849
Mailing Fax
(315) 789-2866
Practice Street Address
751 Pre Emption RD
Practice Address Line 2
Suite 1
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456
Practice Country
US
Practice Phone
(315) 789-2849
Practice Fax
(315) 789-2866
Enumeration Date
September 21, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthopaedic Surgery Physician (207X00000X)