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Individual

DR. GRANT GOLDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3730 SHERIDAN DR, AMHERST, NY 14226-1732
(716) 633-8675
Mailing address
3730 SHERIDAN DR, AMHERST, NY 14226-1732
(716) 633-8675

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1456351
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026747601
UNIVERA
01
000267U7602
UNIVERA
01
000506026002
BLUE SHIELD OF WESTERN NY
01
000506026004
BLUE SHIELD OF WESTERN NY
05
01257010
NY
01
1456359W
WORKERS COMPENSATION
01
149932FF
PREFERRED CARE
01
300137709
RAILROAD MEDICARE
01
5608638
INDEPENDANT HEALTH
Enumeration date
08/01/2006
Last updated
06/14/2013
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