Rohan Anthony Gordon, in West Haven, CT - Licensed Vocational Nurse

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.

Contact Information

	Rohan Anthony Gordon,
	950 Campbell Ave, West Haven, CT 06516-2770
	(203) 932-5711
	Not Available

Provider's Profile

Full Name	Rohan Anthony Gordon
Gender	Male
Speciality	Licensed Vocational Nurse
Location	950 Campbell Ave, West Haven, Connecticut
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

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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Rohan Anthony Gordon, - Licensed Vocational Nurse in West Haven, CT