# DEAN M. GODFREY, DO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326386566
- **Authorized official:** DEAN M. GODFREY MD (OWNER)
- **Authorized official phone:** (609) 510-4761

## Contact information

- **Practice address:** 675 GOOD DR, LANCASTER, PA 17601-2426
- **Practice address phone:** (609) 510-4761
- **Practice address fax:** (818) 889-0517
- **Mailing address:** PO BOX 7627, LANCASTER, PA 17604-7627
- **Mailing address phone:** (609) 510-4761
- **Mailing address fax:** (818) 889-0517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MB07600800 | NJ | Yes |

## Other

- **Enumeration date:** 01/23/2013
- **Last updated:** 01/23/2013