Organization
DEAN M. GODFREY, DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN M. GODFREY MD (OWNER)
(609) 510-4761
Entity
Organization
Contact information
Practice address
675 GOOD DR, LANCASTER, PA 17601-2426
(609) 510-4761
(818) 889-0517
Mailing address
PO BOX 7627, LANCASTER, PA 17604-7627
(609) 510-4761
(818) 889-0517
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB07600800
NJ
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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