Individual
GODDARD S LAINJO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 DOLSON AVE, MIDDLETOWN, NY 10940-6489
(845) 342-4655
(845) 342-6850
Mailing address
41 DOLSON AVE, MIDDLETOWN, NY 10940-6489
(845) 342-4655
(845) 342-6850
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
147716
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01038999
—
NY
Enumeration date
07/21/2005
Last updated
07/08/2007
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