Godoy, Irma G

Godoy, Irma G is an sole proprietor health care provider with primary practice located at 612 Alps Rd , Wayne NJ 07470-3904. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Godoy, Irma G can be contacted via phone (973) 832-4061.

Contact Information

Primary practice address
612 Alps Rd Wayne NJ 07470-3904
Fax: (973) 832-4062
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 25MD00295200 New Jersey

Profile Details

NPI number 1265605703
LBN Legal business name Godoy, Irma G
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2008
Last updated Jun 8th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265605703 NPPES
New Jersey Other 136309ZBJF GROUP MEMBER PTAN
New Jersey Other 136309CX9 GROUP MEMBER PTAN
New Jersey Other 136309CX9 GROUP MEMBER PTAN

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