Robert D Gordon MD Professional Corp

NPI #1225221351 in South Burlington, Vermont

Provider Information

NPI Number: 1225221351
Entity Type: Organization
Organization Name: Robert D Gordon MD Professional Corp
Primary Specialty: Dermatology
Enumeration Date: Aug 22, 2007
Last Updated: May 13, 2008

Practice Location

Address: 364 DORSET ST
Address 2: SUITE 204
City: South Burlington
State: Vermont
ZIP Code: 05403-6270
Phone: (802) 864-0404

Authorized Official

Name: DR. ROBERT GORDON
Title: MD
Phone: (802) 864-0404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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