Active NPIIndividual provider

Dr. Dennis S Gordan, MD

Specialist in New London, Connecticut

NPI Number1548203508
Practice location
365 Montauk Ave, New London, CT 06320-4700
Fax
860-442-0262
Last updated
October 23, 2007

Dennis S Gordan is a Specialist based in New London, CT. Dennis S Gordan practices in New London, CT and has the professional credentials of MD. The NPI Number for Dennis S Gordan is 1548203508 and holds a License No. 036813 (CT). The current practice location address for Dennis S Gordan is 365 Montauk Ave, New London, CT 06320-4700 and can be reached out via phone at 860-444-4739 and via fax at 860-442-0262.

Provider Profile Details

NPI Number
1548203508
Provider Name
Dennis S Gordan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
365 Montauk Ave, New London, CT 06320-4700
Phone Number
860-444-4739
Fax Number
860-442-0262
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2006
Last Update Date
October 23, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
365 Montauk Ave
New London, CT 06320-4700
Zip
06320-4700
Phone Number
860-444-4739
Fax Number
860-442-0262
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
365 Montauk Ave
New London, CT 06320-4700
City
New London
State
CT
Zip
06320-4700
Phone Number
860-444-4739
Fax Number
860-442-0262

License Information

License Number
036813
License State
CT
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Dennis S Gordan, MD?

The NPI number of Dr. Dennis S Gordan, MD is 1548203508. It was assigned on June 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Dennis S Gordan, MD?

Dr. Dennis S Gordan, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in CT under license number 036813.

Where does Dr. Dennis S Gordan, MD practice?

The practice location is 365 Montauk Ave, New London, CT 06320-4700. The office can be reached at 860-444-4739 (phone) or 860-442-0262 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548203508 directly on the NPPES registry website.

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