Provider Demographics
NPI:1154332294
Name:GOLDEN, DANIEL M (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:GOLDEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5401 HARDING HWY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-2243
Mailing Address - Country:US
Mailing Address - Phone:609-909-0200
Mailing Address - Fax:609-909-0267
Practice Address - Street 1:5401 HARDING HWY
Practice Address - Street 2:SUITE 5
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-2243
Practice Address - Country:US
Practice Address - Phone:609-909-0200
Practice Address - Fax:609-909-0267
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2010-01-26
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Provider Licenses
StateLicense IDTaxonomies
MDH57710207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH53238Medicare UPIN