Individual
DR. ELIZABETH E BODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
79032
MA
Other
Enumeration date
09/21/2006
Last updated
04/05/2012
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