Provider Demographics
NPI:1386752608
Name:GOLDEN, WENDY M (MD)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:M
Last Name:GOLDEN
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 1:47 RUTLAND SQ
Mailing Address - Street 2:APARTMENT # 3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-3159
Mailing Address - Country:US
Mailing Address - Phone:617-636-8358
Mailing Address - Fax:
Practice Address - Street 1:NEW ENGLAND MEDICAL CENTER
Practice Address - Street 2:750 WASHINGTON STREET, #302
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-636-8358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA229271207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine