Individual
BRIAN EDWARD BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 OLD YORK RD STE 2B, ABINGTON, PA 19001-3720
(215) 481-2000
Mailing address
240 MEETING HOUSE LANE, SOUTHAMPTON, NY 11968
(631) 726-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
304138
NY
Other
Enumeration date
03/29/2017
Last updated
06/27/2023
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