Provider Demographics
NPI:1649243809
Name:GOLD, JOSEPH B (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:B
Last Name:GOLD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:740 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-7463
Mailing Address - Country:US
Mailing Address - Phone:413-445-4564
Mailing Address - Fax:413-448-2727
Practice Address - Street 1:409 STOCKBRIDGE RD
Practice Address - Street 2:
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1233
Practice Address - Country:US
Practice Address - Phone:413-528-8848
Practice Address - Fax:413-528-2727
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2017-09-22
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Provider Licenses
StateLicense IDTaxonomies
MA204444207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0113824/9709606Medicaid
MAB79423Medicare UPIN
A31861Medicare PIN