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Individual

MR. MICHAEL GODEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
210 BEAR HILL RD, SUITE 401, WALTHAM, MA 02451-1025
(781) 890-2362
(781) 890-2024
Mailing address
210 BEAR HILL RD, SUITE 401, WALTHAM, MA 02451-1025

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH22188
MA

Other

Enumeration date
09/26/2011
Last updated
09/26/2011
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