Individual provider · Type 1 NPI
Ryan Robert Godfrey, PA-C
Surgical Physician Assistant · Boston, MA
NPI number
1447683016
Active
Practice location
55 Fruit St
Boston, MA 02114-2621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA4769 (MA) |
| Physician Assistant | 363A00000X | PA4769 (MA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1447683016
Ryan Robert Godfrey, PA-C's National Provider Identifier is 1447683016, issued on Aug 18, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boston, MA. The record was last updated on Feb 9, 2026.