Individual
DR. JOHN ELLIOTT GODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
50 STANIFORD STREET, 3RD FLOOR S50 3 DIABETES UNIT, BOSTON, MA 02114
(617) 726-8722
(617) 724-8534
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42546
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
42546
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115053
—
MA
01
—
712145
TUFTS HEALTH PLAN
MA
01
—
B33608
BCBS
MA
Enumeration date
08/29/2006
Last updated
09/11/2025
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