Provider Demographics
NPI:1861853905
Name:ALAN GOLD, MD, PA
Entity Type:Organization
Organization Name:ALAN GOLD, MD, PA
Other - Org Name:ALAN GOLD, MD, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT PLASTIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-946-3549
Mailing Address - Street 1:4800 N FEDERAL HWY
Mailing Address - Street 2:SUITE C101
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-5188
Mailing Address - Country:US
Mailing Address - Phone:561-367-9101
Mailing Address - Fax:561-367-9102
Practice Address - Street 1:4800 N FEDERAL HWY
Practice Address - Street 2:SUITE C101
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-5188
Practice Address - Country:US
Practice Address - Phone:561-367-9101
Practice Address - Fax:561-367-9102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-17
Last Update Date:2017-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91026174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty