Janusz Godyn, | |
2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | |
(856) 488-6560 | |
(856) 488-6846 |
Full Name | Janusz Godyn |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 2201 Chapel Ave W, Cherry Hill, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174698203 | NPI | - | NPPES |
5096308 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MA47600 (New Jersey) | Primary |
Entity Name | Kennedy Medical Group Practice, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
Mailing Address | Practice Location Address |
---|---|
Janusz Godyn, 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 Ph: (856) 488-6560 | Janusz Godyn, 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 Ph: (856) 488-6560 |
Dr. Jenni M. Davis, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave W, Kennedy Memorial Hospital-umc, Cherry Hill, NJ 08002 Phone: 856-488-6560 Fax: 856-488-6546 | |
Jeanine Chiaffarano, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave W, Pathology Department, Cherry Hill, NJ 08002 Phone: 856-488-6560 Fax: 856-488-6624 | |
Dr. Richard Bruce Maranoff, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 402 Chanticleer, Cherry Hill, NJ 08003 Phone: 856-751-5589 | |
Jun Liu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave W, Pathology Department, Cherry Hill, NJ 08002 Phone: 856-488-6560 Fax: 856-488-6846 | |
Bethany Lara Mapow, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 2201 Chapel Ave W, Cherry Hill, NJ 08002 Phone: 856-488-6500 | |
Dr. Syed Taghi Hasan Abedi, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2201 Chapel Ave W, Cherry Hill, NJ 08002 Phone: 856-488-6500 |