Organization
GODWIN PLASTIC SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ALLEN GODWIN D.O. (PLASTIC SURGEON)
(215) 266-1012
Entity
Organization
Contact information
Practice address
240 MIDDLETOWN BLVD, SUITE 101D, LANGHORNE, PA 19047-1832
(215) 750-6010
Mailing address
240 MIDDLETOWN BLVD, SUITE 101D, LANGHORNE, PA 19047-1832
(215) 750-6010
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
OS013816
PA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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