Individual
ROBERT GODEFROI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 MERRIMACK ST, LAWRENCE, MA 01843-1756
(978) 557-8870
(978) 557-8856
Mailing address
500 MERRIMACK ST, LAWRENCE, MA 01843-1756
(978) 557-8870
(978) 557-8856
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
54774
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042049
NEIGHBORHOOD HEALTH PLAN
MA
05
—
110066074A
—
MA
01
—
1669460994
FALLON COMMUNITY HEALTH PLAN
MA
01
—
30201344
NH MEDICAID
NH
01
—
35256597
CIGNA
—
01
—
424231
HEALTHSOURCE
—
01
—
4572103
AETNANON HMO
MA
05
—
6197213
—
MA
01
—
726397
TUFTS
MA
01
—
808997
HARVARD PILGRIM HEALTHCAR
MA
01
—
974547
NETWORK HEALTH
MA
01
—
J04702
BLUE CROSS BLUE SHIELD
MA
01
—
P00449913
RR MEDICARE
MA
Enumeration date
10/11/2005
Last updated
11/19/2012
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