Gordon, Stuart R

Gordon, Stuart R is an individual health care provider with primary practice located at 1 Medical Center Dr Dartmouth-Hitchcock Medical Center, Lebanon NH 03756-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Gordon, Stuart R can be contacted via phone (603) 650-6472.

Contact Information

Primary practice address
1 Medical Center Dr Dartmouth-Hitchcock Medical Center Lebanon NH 03756-1000
Fax: (603) 650-5225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 8459 New Hampshire
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X 8459 New Hampshire

Profile Details

NPI number 1992711469
LBN Legal business name Gordon, Stuart R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Sep 9th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992711469 NPPES
New Hampshire MEDICAID 80003150
New Hampshire MEDICAID 0RE3150

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