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Dr. Grayland Wyndell Godfrey II, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1861070195

Grayland Wyndell Godfrey II is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Grayland Wyndell Godfrey II practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Grayland Wyndell Godfrey II is 1861070195 and holds a License No. (New Jersey).

The current practice location address for Grayland Wyndell Godfrey II is 210 Lyons Ave, Newark, NJ and can be reached out via phone at 973-926-7471.

Location: 210 Lyons Ave, Newark, NJ, 07103-2757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861070195
Provider Name
Grayland Wyndell Godfrey II
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
210 Lyons Ave, Newark, NJ, 07103-2757
Phone Number
973-926-7471
Fax Number
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
210 Lyons Ave
City
Newark
State
New Jersey
Zip
07112-1720
Phone Number
973-926-7471
Fax Number
person
Provider Business Mailing Address Details
Address
210 Lyons Ave
City
Newark
State
New Jersey
Zip
07112-1720
Phone Number
973-926-7471
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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