Individual provider · Type 1 NPI
Kenneth A. Bodziak, MD
Nephrology Physician · Worcester, MA
NPI number
1699790295
Active
Practice location
55 Lake Ave N
Worcester, MA 01655-0002
Fax (774) 443-7827
Mailing address
PO Box 415348
Boston, MA 02241-5348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician Primary | 207RN0300X | 262575 (MA) |
Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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About NPI 1699790295
Kenneth A. Bodziak, MD's National Provider Identifier is 1699790295, issued on Jul 13, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Worcester, MA. The record was last updated on Nov 17, 2020.