Provider Demographics
NPI:1346497021
Name:NANCY L GOLDEN MD AND EDITH S KASELIS MD
Entity Type:Organization
Organization Name:NANCY L GOLDEN MD AND EDITH S KASELIS MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:S
Authorized Official - Last Name:KASELIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-255-8744
Mailing Address - Street 1:PO BOX 953
Mailing Address - Street 2:
Mailing Address - City:ORLEANS
Mailing Address - State:MA
Mailing Address - Zip Code:02653-0953
Mailing Address - Country:US
Mailing Address - Phone:508-255-4400
Mailing Address - Fax:508-255-6113
Practice Address - Street 1:4 CHENEY ROAD
Practice Address - Street 2:
Practice Address - City:EAST ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02643
Practice Address - Country:US
Practice Address - Phone:508-255-4400
Practice Address - Fax:508-255-6113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA75612208000000X
MA77583208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty