| Organization Name: | GODWIN PLASTIC SURGERY CENTER LLC |
| NPI Number: | 1013327477 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH ALLEN GODWIN (PLASTIC SURGEON) |
| Mailing Address: | 240 Middletown Blvd Suite 101d Langhorne |
| State: | PA US |
| Postal Code: | 190471832 |
| Phone Number: | 2157506010 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2014 |
| NPI Last Update Date: | 05/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | OS013816 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |