Individual
DANIEL BODMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 E 14TH ST, APT 7C, NEW YORK, NY 10009-3210
(443) 602-4273
Mailing address
615 E 14TH ST, APT 7C, NEW YORK, NY 10009-3210
(443) 602-4273
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
D0096646
MD
Other
Enumeration date
04/18/2016
Last updated
08/05/2024
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