Individual
VIMAL M BODIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 BALTIMORE DR, WILKES BARRE, PA 18702-7900
(570) 808-5780
(570) 808-5753
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD61412880
WA
Other
Enumeration date
03/30/2017
Last updated
10/14/2024
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