Provider Demographics
NPI:1073580023
Name:GOLD, JONATHAN (MD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:GOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1203 LANGHORNE NEWTOWN RD
Practice Address - Street 2:SUITE 320
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-750-7818
Practice Address - Fax:215-752-0436
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2021-05-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD032478E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4226136OtherAETNA
PAP01123870OtherRAILROAD MEDICARE
PA163134OtherPENNSYLVANIA BLUE SHIELD
PA1669234OtherCIGNA PA
PA30120540OtherKEYSTONE FIRST
PA0010171650016Medicaid
PA0022141000OtherKEYSTONE
PA0022141000OtherKEYSTONE
PAC08976Medicare UPIN