Individual
RICHARD H BODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
550 1ST AVE, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, NEW YORK, NY 10016-6402
(212) 263-6600
(212) 263-8026
Mailing address
550 FIRST AVENUE, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, NEW YORK, NY 10016
(212) 263-6600
(212) 263-8026
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA03042600
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
267804-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1075306
—
NJ
Enumeration date
07/18/2006
Last updated
02/26/2021
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