Individual
ERIC S BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT
Contact information
Practice address
1608 PINE GROVE AVE, WESTFIELD, NJ 07090-2268
(917) 750-4579
Mailing address
1608 PINE GROVE AVE, WESTFIELD, NJ 07090-2268
(917) 750-4579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
021876
NY
225100000X
Physical Therapist
Primary
40QA00918000
NJ
Other
Enumeration date
04/05/2006
Last updated
01/25/2018
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