Organization
V.D.BODAS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINAYAK D BODAS M.D. (DR.)
(973) 623-0606
Entity
Organization
Contact information
Practice address
268 M. L. K. BLVD., BLDG. B 6TH FLOOR, NEWARK, NJ 07102
(973) 623-0606
(973) 623-0626
Mailing address
268 M.L.K. BLVD., BUILDING B 6TH FLOOR, NEWARK, NJ 07102-0211
(973) 623-0606
(973) 623-0626
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA03353800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1257404
—
NJ
Enumeration date
09/25/2015
Last updated
09/25/2015
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