MEDICARE: DR. DANIEL M GOLDEN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	H57710	MD

General Provider Information

NPI Number	:	1154332294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL M GOLDEN D.O.

Provider Business Mailing Address
First Line	:	5401 HARDING HWY
Second Line	:	SUITE 5
City	:	MAYS LANDING
State	:	NJ
Zip	:	08330-2243
Country	:	US
Telephone Number	:	609-909-0200
Fax Number	:	609-909-0267

Provider Business Practice Location Address
First Line	:	5401 HARDING HWY
Second Line	:	SUITE 5
City	:	MAYS LANDING
State	:	NJ
Zip	:	08330-2243
Country	:	US
Telephone Number	:	609-909-0200
Fax Number	:	609-909-0267

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	01/26/2010

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