Individual provider · Type 1 NPI

Jordan D. Dierdorff, PAC

Medical Physician Assistant · Allentown, PA

NPI number 1730655796 Active

Practice location

1251 S Cedar Crest Blvd Ste 202A
Allentown, PA 18103-6214

Call (610) 402-5766 Map

Fax (610) 402-5763

Mailing address

2100 Mack Blvd Fl 4
Allentown, PA 18103-5622

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA060095 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1730655796

Jordan D. Dierdorff, PAC's National Provider Identifier is 1730655796, issued on Oct 17, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Allentown, PA. The record was last updated on Oct 24, 2022.