Individual
JONATHAN MAXWELL BODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-2000
Mailing address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0097267
MD
Other
Enumeration date
03/28/2020
Last updated
10/13/2023
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