MEDICARE: GERALD J GOLDING 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
1	207P00000X	Emergency Medicine Physician	026373	CT

Other Identifiers

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

General Provider Information

NPI Number	:	1750421665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERALD J GOLDING MD

Provider Business Mailing Address
First Line	:	1650 FILLMORE ST APT 1601
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-1592
Country	:	US
Telephone Number	:	303-355-0258
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 S COLORADO BLVD STE 450S
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80246-1939
Country	:	US
Telephone Number	:	303-758-2800
Fax Number	:

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

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	11/05/2009

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