Individual
DAVID J BODOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
210 E STATE ST, ALBION, PA 16401-1306
(814) 756-3434
(814) 756-4725
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS011001L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018921900003
—
PA
Enumeration date
04/18/2006
Last updated
12/05/2023
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