Individual
GORDON HOLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 HIGH ST, LUDLOW, VT 05149-1043
(401) 743-1487
Mailing address
17 HIGH ST, LUDLOW, VT 05149-1043
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD042424E
PA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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