Individual
DR. MARIOARA CISMAS BODEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
522 N ELAM AVE STE 203, GREENSBORO, NC 27403-1100
(336) 852-8444
(336) 852-8401
Mailing address
522 N ELAM AVE STE 203, GREENSBORO, NC 27403-1100
(336) 852-8444
(336) 852-8401
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
200600552
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143EC
BCBS
—
01
—
198454
MEDCOST
—
01
—
2300597
UNITED HEALTHCARE
—
01
—
6245177
CIGNA
—
01
—
7617550
AETNA
—
01
—
802215
PARTNERS
—
05
—
89133E6
—
NC
01
—
P00626383
MEDICARE RAILROAD
—
Enumeration date
07/17/2006
Last updated
12/06/2012
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