Individual provider · Type 1 NPI
Jordan O. Booty, MD
Diagnostic Radiology Physician · Philadelphia, PA
NPI number
1336384189
Active
Practice location
3400 Spruce St, 1 Silverstein
Philadelphia, PA 19104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | MD451981 (PA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1336384189
Jordan O. Booty, MD's National Provider Identifier is 1336384189, issued on Dec 9, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Philadelphia, PA. The record was last updated on May 30, 2014.