Individual
MICHAEL FRIEDRICH JOHANNES BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
(215) 707-3946
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
(215) 707-3946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036157978
IL
207RC0000X
Cardiovascular Disease Physician
036157978
IL
207RC0000X
Cardiovascular Disease Physician
274222
MA
207RI0011X
Interventional Cardiology Physician
Primary
MD477544
PA
Other
Enumeration date
07/29/2011
Last updated
08/24/2022
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