Individual
GORDON L. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
111 COLCHESTER AVENUE, UVM MEDICAL CENTER, DEPT. OF MEDICINE, BURLINGTON, VT 05401
(802) 847-8865
(802) 847-7082
Mailing address
111 COLCHESTER AVENUE, UVM MEDICAL CENTER, DEPT. OF MEDICINE, BURLINGTON, VT 05401
(802) 847-8865
(802) 847-7082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.0013293
VT
207R00000X
Internal Medicine Physician
MD041176E
PA
Other
Enumeration date
09/22/2006
Last updated
12/29/2015
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