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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