Individual
DR. EDWARD W GOLD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PKWY, STE. 105, CHESAPEAKE, VA 23320-4911
(757) 547-0302
(757) 547-0305
Mailing address
200 MEDICAL PKWY, STE. 105, CHESAPEAKE, VA 23320-4911
(757) 547-0302
(757) 547-0305
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095192
ANTHEM BCBS
VA
05
—
64-5168-3
—
VA
Enumeration date
04/06/2006
Last updated
07/08/2007
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