Paul Goddard
Paul Goddard is a Health Maintenance Organization in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.
- Licensed in
- PA
- In the registry since
- 2016
Practice location Address checks out
127 N Van Pelt StPhiladelphia, PA 19103-1016
Phone: (215) 964-2420
Fax: (215) 557-0187
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Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence PC002473 (PA) |
|---|
Record details
| NPI number | 1508226812 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Goddard — Therapist · (215) 964-2420 |
| NPI enumerated | February 29, 2016 |
| Last updated in NPPES | February 29, 2016 |
| Mailing address | 127 N Van Pelt St, Philadelphia, PA 19103-1016 |
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