Provider Demographics
NPI:1093914228
Name:ESTROFF, JORDAN MITCHELL (MD)
Entity Type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:MITCHELL
Last Name:ESTROFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2150 PENNSYLVANIA AVE NW FL 6
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-3201
Mailing Address - Country:US
Mailing Address - Phone:202-677-6219
Mailing Address - Fax:202-741-3219
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW FL 6
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-677-6219
Practice Address - Fax:202-741-3219
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD045804208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery