Individual
DR. BETHANY JEWELL GOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
47149 BUSE RD BLDG 1370, MED HOME PORT, PEDIATRICS, PATUXENT RIVER, MD 20670-1540
(301) 342-1418
Mailing address
47149 BUSE RD BLDG 1370, MED HOME PORT, PEDIATRICS, PATUXENT RIVER, MD 20670-1540
(301) 342-1418
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101252363
VA
Other
Enumeration date
06/18/2011
Last updated
07/20/2016
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