Organization
ROBERT D GORDON MD PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GORDON (MD)
(802) 864-0404
Entity
Organization
Contact information
Practice address
364 DORSET ST, SUITE 204, SOUTH BURLINGTON, VT 05403-6270
(802) 864-0404
Mailing address
PO BOX 74887, CLEVELAND, OH 44194-4887
(802) 864-0404
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/22/2007
Last updated
05/13/2008
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