Douglas, Robert Gordon

Douglas, Robert Gordon is an sole proprietor health care provider with primary practice located at 265 Old Black Point Rd , Niantic CT 06357-3732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Douglas, Robert Gordon can be contacted via phone (860) 287-1532.

Contact Information

Primary practice address
265 Old Black Point Rd Niantic CT 06357-3732
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 029290 Connecticut

Profile Details

NPI number 1710243167
LBN Legal business name Douglas, Robert Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2012
Last updated Apr 10th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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