Individual
DR. J. ALEXANDER BODKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 MILL STREET, BELMONT, MA 02478
(617) 855-3186
(617) 855-2936
Mailing address
115 MILL STREET, MCLEAN HOSPITAL, BELMONT, MA 02478
(617) 855-3186
(617) 855-2936
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56622
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JO8279
BLUE CROSS
MA
Enumeration date
10/02/2006
Last updated
07/08/2007
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