Provider Demographics
NPI:1811529423
Name:GODOVSKA, ALINA (PA)
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:GODOVSKA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-4657
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:550 CENTRAL AVE STE 500
Practice Address - Street 2:
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-1505
Practice Address - Country:US
Practice Address - Phone:908-779-5311
Practice Address - Fax:908-522-5999
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2023-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00557800363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant