Individual
DANIEL MICHAEL GOLDFADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 REDMOND RD NW, ROME, GA 30165-1416
(706) 235-3855
(706) 290-2399
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
028988
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000330371A
—
GA
Enumeration date
12/12/2006
Last updated
02/01/2019
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