Individual
DR. JOSEPH NICHOLAS BODOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-2500
(215) 728-3639
Mailing address
22 S GREENE ST, ROOM N3E09, BALTIMORE, MD 21201-1544
(410) 328-6110
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MD463336
PA
207RX0202X
Medical Oncology Physician
Primary
MD463336
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
Other
Enumeration date
04/06/2014
Last updated
05/27/2021
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