| Organization Name: | BEN GOLD, MD, PC |
| NPI Number: | 1013180900 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BERNARD GOLD (PRESIDENT) |
| Mailing Address: | 4870 W Clark Rd Suite 203 Ypsilanti |
| State: | MI US |
| Postal Code: | 481971104 |
| Phone Number: | 7374346050 |
| Fax Number: | 7344349721 |
| NPI Enumeration Date: | 04/11/2008 |
| NPI Last Update Date: | 04/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | 4301042344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |