TIMOTHY GODFREY

WAYNE, NJ
NPI1689108987
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NJ  25MP00560000)
Enumeration Date2017-04-13
Last Update Date2020-05-19
Business Address
Mr. TIMOTHY GODFREY PA
76 WILLOWBROOK BLVD
WAYNE, NJ 07470-7002
Phone number: 862-246-7938
Mailing Address
Mr. TIMOTHY GODFREY PA
76 WILLOWBROOK BLVD
WAYNE, NJ 07470-7002
Phone number: 862-246-7938
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