Organization · Type 2 NPI
V.d.bodas, M.d.
Medical Specialty Clinic/Center · Newark, NJ
Practice location
268 M. L. K. Blvd., Bldg. B 6th Floor
Newark, NJ 07102
Fax (973) 623-0626
Mailing address
268 M.l.k. Blvd., Building B 6th Floor
Newark, NJ 07102-0211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 25MA03353800 (NJ) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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About NPI 1174993752
V.d.bodas, M.d.'s National Provider Identifier is 1174993752, issued on Sep 25, 2015. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Newark, NJ. The record was last updated on Sep 25, 2015.