Provider Demographics
NPI:1841396975
Name:GOLAN, DAVID ERIC (MD PHD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ERIC
Last Name:GOLAN
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:250 LONGWOOD AVE RM 304C
Mailing Address - Street 2:HARVARD MEDICAL SCHOOL-DEPT OF BIOLOGICAL CHEMISTRY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-432-2256
Mailing Address - Fax:
Practice Address - Street 1:250 LONGWOOD AVE RM 304C
Practice Address - Street 2:HARVARD MEDICAL SCHOOL-DEPT OF BIOLOGICAL CHEMISTRY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-432-2256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA47968207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology