Organization
BRENTWOOD PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJEY GODBOLE M.D. (PRESIDENT)
(248) 478-3200
Entity
Organization
Contact information
Practice address
33215 W. SEVEN, BRENTWOOD PEDIATRICS ASSOCIATES, LIVONIA, MI 48152
(248) 478-3200
(248) 478-3316
Mailing address
33215 W. SEVEN MILE RD, LIVONIA, MI 48152
(248) 478-3200
(248) 478-3316
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
005826
MI
Other
Enumeration date
03/24/2008
Last updated
02/23/2015
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