Most Relevant Information
Provider Data
NPI Number: | 1003064726 |
Provider Name: | JAN GOLDEN D.P.M. |
Entity Type: | Individual |
Taxonomy Code: | 213ES0103X |
Specialty: | Podiatrist |
License Number: | SC005994 |
Most Important Dates
Enumeration Date: | 09/06/2008 |
Last Updated: | 10/20/2014 |
Provider Practice Location
532 MAIN ST STE 2
MOOSIC
PA
185071001
Practice Location Phone/Fax
Phone: | 5704576540 |
Fax: | 5704576541 |
Provider Mailing Location
532 MAIN ST STE 2
MOOSIC
PA
185071001
Provider Mailing Phone/Fax
Phone: | 5704576540 |
Fax: | 5704576541 |
Suggested EMR
Podiatry EMR