Individual
DR. ROBERT MYLES GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
612 WASHINGTON ST, CANTON, MA 02021-3032
(781) 828-2212
(781) 828-1771
Mailing address
612 WASHINGTON ST, CANTON, MA 02021-3032
(781) 828-2212
(781) 828-1771
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2095TP
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306312
—
MA
01
—
726747
TUFTS HEALTH PLAN
MA
01
—
W15016
BCBSMA
MA
Enumeration date
08/31/2006
Last updated
07/08/2007
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