Individual
DR. THOMAS D GODLESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1613 ROUTE 38, LUMBERTON, NJ 08048-2921
(609) 261-3716
(609) 261-5507
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB07019700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052850
—
NJ
Enumeration date
06/30/2006
Last updated
10/16/2020
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