Individual
DR. GORDON C BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
5 DUNNING ST, SUITE 1, CLAREMONT, NH 03743
(603) 543-1251
(603) 542-3558
Mailing address
243 ELM STREET, CLAREMONT, NH 03743
(603) 543-6940
(603) 543-6950
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
037311-23
NH
363LF0000X
Family Nurse Practitioner
101.0053103
VT
Other
Enumeration date
05/14/2009
Last updated
12/15/2015
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