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Organization

GARY L GOLDFADEN MD PA

Active
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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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