Individual
ELLIOT B BODOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, SUITE 550, CAMDEN, NJ 08103-1461
(856) 342-2040
(856) 968-8311
Mailing address
1 FEDERAL ST # 100, CAMDEN, NJ 08103-1088
(856) 356-4924
(856) 356-4793
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA48588
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0457494000
AMERIHEALTH HMO, KEYSTONE, IBC
—
01
—
1066071
HORIZON NJ HEALTH
—
01
—
2080640
UNITED HEALTHCARE
—
01
—
250010343
RR MEDICARE
—
01
—
25032
UNIVERSITY HEALTHPLAN
—
01
—
3K7746
HEALTHNET
—
01
—
463646
AETNA
—
05
—
6115403
—
NJ
01
—
627749
AMERIHEALTH PPO
—
01
—
8058165
CIGNA
—
01
—
CA0000263
AMERICHOICE
—
01
—
P561499
OXFORD HEALTHPLAN
—
Enumeration date
10/12/2006
Last updated
02/01/2018
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