NPI 1043965460

Rohan Anthony Gordon

Practitioner Licensed Vocational Nurse West Haven, CT

Practice location

Address: 950 Campbell Ave, West Haven, CT 06516-2770
Phone: (203) 932-5711
Mailing address: 21 Cobblestone Ln, Meriden, CT 06450-6733

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 038567 (CT)

Other Licensed Vocational Nurse providers in Connecticut →

Registry record

NPI: 1043965460
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Feb 2022
Record last updated: 14 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.