Individual
DURGA R BODALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4013 ROUTE 9 N STE 1N, HOWELL, NJ 07731-3307
(732) 905-5255
(732) 905-5266
Mailing address
4013 ROUTE 9 N STE 1N, HOWELL, NJ 07731-3307
(732) 905-5255
(732) 905-5266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA079633
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096474
—
NJ
Enumeration date
03/27/2006
Last updated
03/31/2010
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