Individual
BRIJESH S. BODIWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
401 KINGS HWY S STE 5, CHERRY HILL, NJ 08034-2500
(856) 428-8992
(856) 428-9614
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS014996
PA
207RN0300X
Nephrology Physician
Primary
25MB09186300
NJ
207RN0300X
Nephrology Physician
OT011283
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0364070
—
NJ
Enumeration date
04/01/2009
Last updated
03/04/2024
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