Godfrey, Mark

Godfrey, Mark is an sole proprietor health care provider with primary practice located at 789 Howard Ave , New Haven CT 06519-1304. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Godfrey, Mark can be contacted via phone (203) 785-4198.

Contact Information

Primary practice address
789 Howard Ave New Haven CT 06519-1304
Phone: (203) 785-4198
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X LP02748 Rhode Island
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD15361 Rhode Island
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 65880 Connecticut
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 65880 Connecticut

Profile Details

NPI number 1235576554
LBN Legal business name Godfrey, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2013
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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