Organization
GARY L GOLDFADEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY L GOLDFADEN MD (PRESIDENT)
(954) 966-5409
Entity
Organization
Contact information
Practice address
3816 HOLLYWOOD BLVD, SUITE 205, HOLLYWOOD, FL 33021-6750
(954) 966-5409
(954) 966-0852
Mailing address
3816 HOLLYWOOD BLVD, SUITE 205, HOLLYWOOD, FL 33021-6750
(954) 966-5409
(954) 966-0852
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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