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Contact Information

JEROME E BODIAN, MD
245 ENGLE ST
ENGLEWOOD, NJ07631-2465
 Phone: 201-567-0076
 Fax: 201-871-9722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEROME E BODIAN · (Male)

NPI Number 1013079912
Status Active
Credentials MD
Entity Individual
Enumeration date 12/15/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA0194100
  • NJ Medicaid 0927805
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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