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Organization
GOLDEN CARE FOOT AND ANKLE SURGERY
Active
Organization
GOLDEN CARE FOOT AND ANKLE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN M. GOLDEN D.P.M. (PODIATRIST)
(570) 457-6540
Entity
Organization
Contact information
Practice address
532 MAIN ST, SUITE # 2, MOOSIC, PA 18507-1074
(570) 457-6540
(570) 457-6541
Mailing address
532 MAIN STREET, SUITE #2, MOOSIC, PA 18507-1074
(570) 457-6540
(570) 457-6541
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005994
PA
332B00000X
Durable Medical Equipment & Medical Supplies
SC005994
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024586680001
—
PA
Enumeration date
07/21/2010
Last updated
07/17/2012
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