Nancy Louise Golden, MD

Individual provider Active NPI Pediatrics Physician · Wellfleet, MA

NPI 1831297191 · NPPES record last updated Jul 15, 2011

Key facts

NPI
1831297191
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
77583 (MA)
Practice address
3130 State Hwy Rte 6
Wellfleet, MA 02667-7402
Phone
(508) 349-3131
Fax
(508) 349-1311
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77583MAMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 77583 MA Yes

Addresses

Primary practice location

3130 State Hwy Rte 6
Wellfleet, MA 02667-7402

Mailing address

PO Box 1413
Wellfleet, MA 02667-1413
Phone (508) 240-0208

Other identifiers

IdentifierTypeStateIssuer
6175392MedicaidMA

Other providers in Wellfleet, MA

All providers in Wellfleet, MA · Pediatrics Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.