Individual
ELIZABETH H GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
970 HOOPER AVE # 2, TOMS RIVER, NJ 08753-8319
(732) 228-4146
(732) 504-7104
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00841900
NJ
363AM0700X
Medical Physician Assistant
MA063095
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA063095
STATE LICENSE
PA
Enumeration date
10/28/2021
Last updated
11/13/2024
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