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Organization
BODNER PHYSICIAN SERVICES PA
Active
Organization
BODNER PHYSICIAN SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY BODNER DO (OWNER/MD)
(732) 333-8155
Entity
Organization
Contact information
Practice address
65 STATE ROUTE 34 STE 4, MORGANVILLE, NJ 07751-4262
(732) 333-8155
Mailing address
65 STATE ROUTE 34 STE 4, MORGANVILLE, NJ 07751-4262
(732) 333-8155
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25MB08845000
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/21/2017
Last updated
09/12/2022
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