Individual provider · Type 1 NPI
Tasha Lee Godbolt
Adult Medicine Physician · Roselle Park, NJ
NPI number
1457034951
Active
Practice location
141 Chestnut St Ste 201
Roselle Park, NJ 07204-2282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1457034951
Tasha Lee Godbolt's National Provider Identifier is 1457034951, issued on Aug 10, 2023. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Roselle Park, NJ. The record was last updated on Feb 26, 2024.