Individual
JOSEPHINE GOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 STARBUCK DR UNIT 203, GREEN ISLAND, NY 12183-1264
(410) 302-3313
Mailing address
30 STARBUCK DR UNIT 203, GREEN ISLAND, NY 12183-1264
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
032126
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
12/08/2022
Last updated
07/31/2024
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