Individual
DR. JOHN ELLIOTT GODINE
Active
Individual
DR. JOHN ELLIOTT GODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
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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