Provider Demographics
NPI:1952477135
Name:GOLD, STUART M (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:M
Last Name:GOLD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:921 THE ALAMEDA
Mailing Address - Street 2:106
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2311
Mailing Address - Country:US
Mailing Address - Phone:510-841-5800
Mailing Address - Fax:510-525-1473
Practice Address - Street 1:921 THE ALAMEDA
Practice Address - Street 2:106
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-2311
Practice Address - Country:US
Practice Address - Phone:510-841-5800
Practice Address - Fax:510-525-1473
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
CAC251132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA32791Medicare UPIN