Individual
DR. ANTHONY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
54 HARTFORD TPKE, VERNON, CT 06066-5276
(860) 646-3400
(860) 646-3402
Mailing address
129 OCONNELL DR, EAST HARTFORD, CT 06118
(860) 870-3800
(860) 870-3802
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT002287
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004112843
—
CT
Enumeration date
08/04/2006
Last updated
08/31/2007
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