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NPI Code Detail

MEDICARE: MICHAEL GOLDEN MD

MEDICARE:   MICHAEL  GOLDEN  MD
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
1207R00000XInternal Medicine Physician81828MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1081828OTHERMATUFTS
22075343OTHERAETNA (HMO)
3J17224OTHERMABCBS
466301OTHERMAHARVARD PILGRIM
54035191OTHERAETNA (PPO)
61937687OTHERCIGNA

General Provider Information

NPI Number : 1609872571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL GOLDEN MD
Provider Business Mailing Address
First Line : PO BOX 843242
Second Line :
City : BOSTON
State : MA
Zip : 02284-3242
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 27 CENTENNIAL DR
Second Line :
City : PEABODY
State : MA
Zip : 01960-7901
Country : US
Telephone Number : 978-531-7677
Fax Number : 978-531-7690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 07/08/2007

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Directions to “ MICHAEL GOLDEN MD” Practice Location

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