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Individual

GEETA GODARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 373-6000
Mailing address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 373-6000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20181
ME
208M00000X
Hospitalist Physician
MD20181
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD20181
MAINE LICENSE
ME
Enumeration date
05/07/2009
Last updated
11/30/2023
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