NPI 1548203508

Dennis S Gordan, MD

Practitioner Specialist New London, CT

Practice location

Address: 365 Montauk Ave, New London, CT 06320-4700
Phone: (860) 444-4739
Fax: (860) 442-0262

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 036813 (CT)

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Registry record

NPI: 1548203508
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2006
Record last updated: 23 Oct 2007

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.