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Contact Information

DIANE F GODOROV, DO
6TH AVENUE AND SPRUCE STREET
WEST READING, PA19611
 Phone: 484-628-3637
 Fax: 484-628-8773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DIANE F GODOROV · (Female)

NPI # 1942377015
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/30/2006
Last updated 12/05/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • PA License # OS010633L
  • WI License # 81683
  • PA Medicaid 101863880
  • WI Medicaid 1942377015
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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