Rohan Anthony Gordon, is a
Licensed Vocational Nurse based in West Haven, Connecticut. Rohan Anthony Gordon is licensed to practice in Connecticut (license number 038567) and his current practice location is
950 Campbell Ave, West Haven, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 932-5711.
NPI number for Rohan Anthony Gordon is 1043965460 and his current mailing address is 21 Cobblestone Ln, Meriden, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043965460.
Provider's Profile
| Full Name | Rohan Anthony Gordon |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Vocational Nurse |
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| Location | 950 Campbell Ave, West Haven, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043965460
- Provider Enumeration Date: 02/14/2022
- Last Update Date: 02/14/2022
Medical Identifiers
Medical identifiers for Rohan Anthony Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043965460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 038567 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rohan Anthony Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rohan Anthony Gordon,
21 Cobblestone Ln,
Meriden, CT 06450-6733
Ph: (203) 440-9141 | Rohan Anthony Gordon,
950 Campbell Ave,
West Haven, CT 06516-2770
Ph: (203) 932-5711 |
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