# V.D.BODAS, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174993752
- **Authorized official:** DR. VINAYAK D BODAS M.D. (DR.)
- **Authorized official phone:** (973) 623-0606

## Contact information

- **Practice address:** 268 M. L. K. BLVD., BLDG. B 6TH FLOOR, NEWARK, NJ 07102
- **Practice address phone:** (973) 623-0606
- **Practice address fax:** (973) 623-0626
- **Mailing address:** 268 M.L.K. BLVD., BUILDING B 6TH FLOOR, NEWARK, NJ 07102-0211
- **Mailing address phone:** (973) 623-0606
- **Mailing address fax:** (973) 623-0626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25MA03353800 | NJ | Yes |

## Other

- **Enumeration date:** 09/25/2015
- **Last updated:** 09/25/2015