Provider Demographics
NPI:1306842539
Name:GOLDING, RICHARD C (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:C
Last Name:GOLDING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 1ST ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2044
Mailing Address - Country:US
Mailing Address - Phone:201-488-3003
Mailing Address - Fax:201-488-6911
Practice Address - Street 1:52 1ST ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2044
Practice Address - Country:US
Practice Address - Phone:201-488-3003
Practice Address - Fax:201-488-6911
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37363207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C61377Medicare UPIN
NJ154519BAAMedicare ID - Type Unspecified