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Individual

JOHN GODFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
760 W SPROUL RD STE 200, SPRINGFIELD, PA 19064-4005
(484) 386-6300
(484) 380-3178
Mailing address
207 N BROAD ST FL 3, PHILADELPHIA, PA 19107-1500
(610) 565-2100
(610) 892-0626

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
25MB07805800
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
OS012390
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021046150005
PA
Enumeration date
05/02/2007
Last updated
10/29/2025
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