Individual
GORDON STROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 LONG WHARF DR, SUITE 302, NEW HAVEN, CT 06511-5991
(860) 664-0126
(203) 776-7741
Mailing address
1 LONG WHARF DR, SUITE 302, NEW HAVEN, CT 06511-5991
(860) 664-0126
(203) 776-7741
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
16710
CT
207YP0228X
Pediatric Otolaryngology Physician
16710
CT
207YX0602X
Otolaryngic Allergy Physician
16710
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040002583
RAILROAD MEDICARE PIN
CT
05
—
1167105
—
CT
Enumeration date
07/05/2006
Last updated
07/02/2009
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