Individual
COLIN JAMES GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2638
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2638
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
HS000110L
PA
390200000X
Student in an Organized Health Care Education/Training Program
LP05590
RI
Other
Enumeration date
05/31/2022
Last updated
06/28/2025
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