Provider Demographics
NPI:1598747859
Name:GOLD, MORRIE G (MD)
Entity Type:Individual
Prefix:
First Name:MORRIE
Middle Name:G
Last Name:GOLD
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 1:915 OLD FERN HILL RD
Mailing Address - Street 2:BLDG. D, SUITE 600
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380
Mailing Address - Country:US
Mailing Address - Phone:610-692-3434
Mailing Address - Fax:610-692-9005
Practice Address - Street 1:915 OLD FERN HILL RD
Practice Address - Street 2:BLDG. D, SUITE 600
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380
Practice Address - Country:US
Practice Address - Phone:610-692-3434
Practice Address - Fax:610-692-9005
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015550E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007356950005Medicaid
PA51517OtherBCBS
PA2813264OtherAETNA
PA051517QW8Medicare ID - Type Unspecified
PA51517OtherBCBS