MEDICARE: DAPHNE G GOLDING, MD, PC

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	208VP0000X	Pain Medicine Physician	MD052979L	PA

General Provider Information

NPI Number	:	1982055737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAPHNE G GOLDING, MD, PC

Provider Business Mailing Address
First Line	:	2417 WELSH RD
Second Line	:	SUITE 220
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-2213
Country	:	US
Telephone Number	:	267-639-2555
Fax Number	:	215-613-5631

Provider Business Practice Location Address
First Line	:	2417 WELSH RD
Second Line	:	SUITE 220
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-2213
Country	:	US
Telephone Number	:	267-639-2555
Fax Number	:	215-613-5631

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DAPHNE G GOLDING
Credential	:	MD
Telephone Number	:	267-639-2555

Provider Enumeration Date	:	06/23/2016
Last Update Date	:	06/23/2016

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