Individual
DR. GYORGY BODROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
543 NORTH ST, SUITE #9, NEW BEDFORD, MA 02740-2782
(508) 984-5566
Mailing address
57 MIRANDA WAY, BRIDGEWATER, MA 02324-1481
(508) 577-0185
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
218788
MA
2084P0800X
Psychiatry Physician
Primary
218788
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2163101
—
MA
Enumeration date
06/18/2007
Last updated
11/10/2011
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