Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 14082 | OH |
Y | 213EG0000X | General Practice | 14082 | OH |
NPI | 1003925249 |
---|---|
Provider Name | Dr. Geoffrey L Gold |
First Address | Hamilton, OH 45015-1698 |
Second Address | Hamilton, OH 45015-1698 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |