Healthcare Provider Details

I. General information

NPI: 1457303620
Provider Name (Legal Business Name): WILLIAM ARTHUR GOLDEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 KEVENEY LN
YARMOUTH PORT MA
02675-1116
US

IV. Provider business mailing address

187 KEVENEY LN
YARMOUTH PORT MA
02675-1116
US

V. Phone/Fax

Practice location:
  • Phone: 508-775-2295
  • Fax: 508-778-6184
Mailing address:
  • Phone: 508-775-2295
  • Fax: 508-778-6184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number47304
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: