OrganizationActive
Paul Goddard
NPI 1508226812 · Health Maintenance Organization · Philadelphia, PA
Provider details
- NPI number
- 1508226812
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Paul Goddard, Therapist(215) 964-2420
- License
- PC002473 (PA)
Specialties & taxonomies
Managed Care Organizations
Practice location
127 N Van Pelt St
Philadelphia, PA 19103-1016
Phone: (215) 964-2420
Fax: (215) 557-0187
Approximate (ZIP-level) locationGet directions
Mailing address
127 N Van Pelt St
Philadelphia, PA 19103-1016
Registry dates
- Enumerated
- 2016-02-29
- Last updated
- 2016-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.