Individual
STANLEY S BODZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994
Mailing address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD103700
NJ
213E00000X
Podiatrist
SC001895L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060537000
AMERIHEALTH
—
05
—
0495000
—
NJ
01
—
066165
IBC
PA
01
—
15222
UNIVERSITY HEALTH PLAN
—
01
—
27-00990
EVERCARE
—
01
—
48674
KEYSTONE MERCY HEALTH PLA
PA
01
—
6201283
GROUP HEALTH INSURANCE
—
01
—
OXFORD
P3065606
—
01
—
SC001895L
HEALTH PARTNERS
PA
Enumeration date
08/19/2006
Last updated
07/15/2013
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