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NPI Code Detail

MEDICARE: HAROLD M GOLL M.D.

MEDICARE: HAROLD M GOLL M.D.
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
1207L00000XAnesthesiology PhysicianD0028695MD
2207LP2900XPain Medicine (Anesthesiology) PhysicianD0028695MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1D0028695OTHERMDSTATE LICENSE NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366443251
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAROLD M GOLL M.D.
Provider Business Mailing Address
First Line : 110 WEST RD
Second Line : SUITE 210
City : TOWSON
State : MD
Zip : 21204-2316
Country : US
Telephone Number : 410-296-4616
Fax Number : 410-337-5068
Provider Business Practice Location Address
First Line : 6701 N CHARLES ST
Second Line :
City : TOWSON
State : MD
Zip : 21204-6808
Country : US
Telephone Number : 410-296-4616
Fax Number : 410-337-5068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 07/23/2008

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