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Individual

DR. NICHOLAS CHARLES GOLDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 36TH ST STE B, VERO BEACH, FL 32960-4862
(772) 567-4311
Mailing address
34940 RIDGE RD, SUITE B, WILLOUGHBY, OH 44094-4196
(440) 953-1899
(440) 953-9281

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME151295
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01839358
NY
Enumeration date
08/03/2005
Last updated
08/11/2021
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