Individual
SETH XAVIER BODANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
301 SAINT PAUL PL, BALTIMORE, MD 21202-2165
(410) 332-9000
Mailing address
301 SAINT PAUL PL, BALTIMORE, MD 21202-2165
(410) 332-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R186649
MD
Other
Enumeration date
04/29/2021
Last updated
05/03/2021
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