Individual
JOHN M GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 WEST AVE, SARATOGA SPRINGS, NY 12866-6049
(518) 583-0111
(518) 583-2426
Mailing address
319 S MANNING BLVD STE 106, ALBANY, NY 12208-1743
(518) 438-0507
(518) 438-0981
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
122833
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000434084003
BLUE SHIELD OF NORTHEASTE
NY
01
—
10000778
CDP
NY
01
—
105151
GHI HMO
NY
01
—
4145855
MVP
NY
01
—
7846749
AETNA
NY
Enumeration date
07/26/2006
Last updated
07/08/2007
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