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NPI Code Detail

MEDICARE: JOSEPH IVAN GOLDEN M.D.

MEDICARE: JOSEPH IVAN GOLDEN 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
1207Q00000XFamily Medicine Physician11922WV

Other Identifiers

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

General Provider Information

NPI Number : 1427040419
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH IVAN GOLDEN M.D.
Provider Business Mailing Address
First Line : 497 MALL RD
Second Line :
City : OAK HILL
State : WV
Zip : 25901-6216
Country : US
Telephone Number : 304-469-2905
Fax Number : 304-465-5486
Provider Business Practice Location Address
First Line : 497 MALL RD
Second Line :
City : OAK HILL
State : WV
Zip : 25901-6216
Country : US
Telephone Number : 304-469-2905
Fax Number : 304-465-5486
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 10/09/2023

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Directions to “ JOSEPH IVAN GOLDEN M.D.” Practice Location

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