Organization
VINAYAK D. BODAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINAYAK D. BODAS M.D. (PEDIATRIC NEUROLOGIST)
(973) 623-0606
Entity
Organization
Contact information
Practice address
268 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-2011
(973) 623-0606
Mailing address
268 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-2011
(973) 623-0606
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1257404-01
—
NJ
Enumeration date
11/17/2006
Last updated
06/25/2008
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