Provider Demographics
NPI:1821060203
Name:GOLDEN, CARRIE B (DO)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:B
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 VOSE FARM RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-2154
Mailing Address - Country:US
Mailing Address - Phone:603-312-1600
Mailing Address - Fax:603-371-2629
Practice Address - Street 1:9 VOSE FARM RD STE 100
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-2154
Practice Address - Country:US
Practice Address - Phone:603-312-1600
Practice Address - Fax:603-371-2629
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12795207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30212207Medicaid
NH30212207Medicaid
NHRE8359Medicare ID - Type Unspecified