Individual
DR. MARK E. GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
776 FARMINGTON AVE, WEST HARTFORD, CT 06119-1677
(860) 232-3277
(860) 232-6277
Mailing address
776 FARMINGTON AVE, WEST HARTFORD, CT 06119-1677
(860) 232-3277
(860) 232-6277
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
001361
CT
Other
Enumeration date
07/28/2006
Last updated
05/27/2009
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