# DEAN M GODFREY, D.O., LLC

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

## Provider details

- **NPI number:** 1386895209
- **Authorized official:** DEAN GODFREY DO (OWNER)
- **Authorized official phone:** (609) 510-4761

## Contact information

- **Practice address:** 425 12TH ST, HAMMONTON, NJ 08037-1382
- **Practice address phone:** (609) 567-9168
- **Mailing address:** 1603 W MCGALLIARD AVE, HAMILTON, NJ 08610-3209
- **Mailing address phone:** (609) 510-4761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2008
- **Last updated:** 10/09/2008