Healthcare Provider Details

I. General information

NPI: 1336200849
Provider Name (Legal Business Name): JOSHUA P GOLDEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 08/06/2021
Certification Date: 08/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 STURDY ST
ATTLEBORO MA
02703-3148
US

IV. Provider business mailing address

28 STURDY ST
ATTLEBORO MA
02703-3148
US

V. Phone/Fax

Practice location:
  • Phone: 781-784-1700
  • Fax: 781-784-4602
Mailing address:
  • Phone: 781-784-1700
  • Fax: 781-784-4602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number60401
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: