NPI 1053498956

Stephanie a Godbold, PAC

Practitioner Physician Assistant Voorhees, NJ

Practice location

Address: 200 Bowman Dr Suite E-100, Voorhees, NJ 08043-9623
Phone: (609) 267-9400
Mailing address: 4 Eves Dr # a Suite 100, Marlton, NJ 08053-3195

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25MP00167100 (NJ)

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Registry record

NPI: 1053498956
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2006
Record last updated: 23 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.