Provider Demographics
NPI:1609969708
Name:GOLDEN, DAVID BK (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BK
Last Name:GOLDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7939 HONEYGO BLVD
Mailing Address - Street 2:SUITE 219
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4931
Mailing Address - Country:US
Mailing Address - Phone:410-931-0404
Mailing Address - Fax:410-931-0405
Practice Address - Street 1:7939 HONEYGO BLVD
Practice Address - Street 2:SUITE 219
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-4931
Practice Address - Country:US
Practice Address - Phone:410-931-0404
Practice Address - Fax:410-931-0405
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0022913207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD325501800Medicaid
MD325501800Medicaid
MD325501800Medicaid