Individual
IVANNA BODNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
29 HOSPITAL PLZ STE 505, STAMFORD, CT 06902-3602
(203) 348-2437
(203) 276-7243
Mailing address
29 HOSPITAL PLZ STE 505, STAMFORD, CT 06902-3602
(203) 348-2437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F09230452
CT
363L00000X
Nurse Practitioner
Primary
12445
CT
Other
Enumeration date
09/13/2023
Last updated
12/28/2023
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