Individual
MR. KIRKWOOD BODDEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-6000
Mailing address
2106 ACKMEN CT, BRIDGEWATER, NJ 08807-3558
(908) 393-4630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NR16031700
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ00644200
NJ
Other
Enumeration date
09/04/2018
Last updated
10/23/2019
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