NPI 1760777650 · live from the CMS NPI Registry
Jordan Samuel Gold, M.D.
Radiology, Diagnostic Radiology in Philadelphia, PA. National Provider Identifier 1760777650, active.
NPI record
| NPI | 1760777650 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 132 S 10th St, 10th Floor, Main Bldg., Philadelphia, PA 19107 |
| Practice phone | 215-955-6000 |
| Mailing address | 110 Irving St Nw # Ba-94, Washington, DC 20010 |
| Enumerated | June 18, 2011 |
| Last updated | April 25, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | MT199191 (PA) |
| Radiology, Diagnostic Radiology | 2085R0202X | MD044803 (DC) |
| Radiology, Diagnostic Radiology | 2085R0202X | D90151 (MD) |
| Radiology, Diagnostic Radiology | 2085R0202X | MD456112 (PA) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | D0082749 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.