Individual
ROHAN ANTHONY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
21 COBBLESTONE LN, MERIDEN, CT 06450-6733
(203) 440-9141
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
038567
CT
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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