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General NPI Number Information
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NPI Number | 1700018272
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Entity Type | Organization
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Legal Business Name | ANNA M. GODYN,MD. PC
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 231 CROSSWICKS RD SUITE 2
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2602
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Country | US
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Telephone | 609-298-7204
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Fax | 609-298-0491
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Provider Business Mailing Address
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Address Line | 231 CROSSWICKS RD SUITE 2
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2602
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Country | US
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Telephone | 609-298-7204
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Fax | 609-298-0491
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DAWN M BERGER
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Credential |
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Telephone | 609-298-7204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | MA046193
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License Number State | NJ
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