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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TASHA LEE GODBOLT

Active

TASHA LEE GODBOLT is a Adolescent Medicine healthcare provider located in ROSELLE PARK, New Jersey. NPI 1457034951 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · ROSELLE PARK, NJ

Registration Details

NPI Number
1457034951
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2023 (3.0292773645692 yrs)
Last Updated
Feb 26, 2024

Practice Information

Address
141 CHESTNUT ST STE 201
ROSELLE PARK, NJ, 072042282
Browse NJ providers · Browse ZIP 07204
Phone
9732232933
Primary Specialty
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.