Individual
NICHOLAS PAUL BODMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
540 LITCHFIELD ST, TORRINGTON, CT 06790-6600
(860) 496-6666
(860) 496-6633
Mailing address
540 LITCHFIELD ST, TORRINGTON, CT 06790-6600
(860) 496-6666
(860) 496-6633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1.069320-DO
CT
Other
Enumeration date
04/08/2018
Last updated
08/09/2021
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