Individual
DR. KENNETH ALAN BODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
30 PROSPECT AVE., DEPT. OF AUDIOLOGY, HACKENSACK, NJ 07601
(201) 996-5126
(201) 996-0557
Mailing address
20 PROSPECT AVE, SUITE 808, HACKENSACK, NJ 07601-1997
(201) 996-5126
(201) 996-0557
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1552
NY
231H00000X
Audiologist
Primary
YA000577
NJ
237600000X
Audiologist-Hearing Aid Fitter
25MG00090100
NJ
Other
Enumeration date
02/08/2007
Last updated
08/21/2008
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