Provider Demographics
NPI:1184761348
Name:GOLD, RHONDA (MD)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:
Last Name:GOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:883 ROBERT TREAT EXT
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-1649
Mailing Address - Country:US
Mailing Address - Phone:203-891-8948
Mailing Address - Fax:
Practice Address - Street 1:370 JAMES ST
Practice Address - Street 2:SUITE 304
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-3089
Practice Address - Country:US
Practice Address - Phone:203-503-0482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT22401207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTF85173Medicare UPIN