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Individual
STANLEY S BODZIN
Active
Individual
STANLEY S BODZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD103700
NJ
213E00000X
Podiatrist
SC001895L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060537000
AMERIHEALTH
—
05
—
0495000
—
NJ
01
—
066165
IBC
PA
01
—
15222
UNIVERSITY HEALTH PLAN
—
01
—
27-00990
EVERCARE
—
01
—
48674
KEYSTONE MERCY HEALTH PLA
PA
01
—
6201283
GROUP HEALTH INSURANCE
—
01
—
OXFORD
P3065606
—
01
—
SC001895L
HEALTH PARTNERS
PA
Enumeration date
08/19/2006
Last updated
07/15/2013
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