Individual
ALEX B BODENSTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4745 OGLETOWN STANTON RD STE 225, NEWARK, DE 19713-1387
(302) 731-2888
(302) 731-7049
Mailing address
211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
(302) 731-2888
(302) 731-7049
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
CI0002138
DE
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
CI0002138
DE
Other
Enumeration date
01/18/2006
Last updated
01/25/2024
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