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Individual

DR. ELLEN GOLDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
4 DEARFIELD DR, SUITE 106, GREENWICH, CT 06831
(203) 622-7504
(203) 629-6541
Mailing address
4 DEARFIELD DR, SUITE 106, GREENWICH, CT 06831-5351
(203) 622-7504
(203) 629-6541

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000626
CT
213E00000X
Podiatrist
N005083
NY
213ES0131X
Foot Surgery Podiatrist
000626
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004143161
CT
01
01000626
CIGNA
CT
05
015403940
NY
01
030000626CT01
ANTHEM BC/BS
CT
01
1548287519
MEDICARE NPI
CT
01
480022148
RAILROAD MEDICARE
01
505409
AETNA US HEALTHCARE
CT
01
5962075
AETNA
CT
01
6200846
GHI
NY
01
ZS738
OXFORD
CT
Enumeration date
08/11/2005
Last updated
03/24/2015
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