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Organization
WATERFORD MEDICAL ASSOCIATES PC
Active
Organization
WATERFORD MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MARTIN GOLD DO (PRESIDENT)
(248) 674-2259
Entity
Organization
Contact information
Practice address
3560 PONTIAC LAKE RD, WATERFORD, MI 48328-2337
(248) 674-2259
(248) 674-3356
Mailing address
3560 PONTIAC LAKE RD, WATERFORD, MI 48328-2337
(248) 674-2259
(248) 674-3356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
01/25/2007
Last updated
05/14/2010
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