Healthcare Provider Details

I. General information

NPI: 1669431045
Provider Name (Legal Business Name): DARYL G. COLDEN M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 PROSPECT ST SUITE 401
LAWRENCE MA
01841-2841
US

IV. Provider business mailing address

PO BOX 2200
AMHERST NH
03031-4200
US

V. Phone/Fax

Practice location:
  • Phone: 978-685-2900
  • Fax: 978-688-8292
Mailing address:
  • Phone: 603-673-9411
  • Fax: 603-673-9899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DARYL G. COLDEN
Title or Position: SOLE PROPRIETOR
Credential: M.D.
Phone: 978-685-2900