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Contact Information

STEPHANIE M BODOR, MD
77 W. MAIN ST.
HOPKINTON, MA01748
 Phone: 508-435-5506
 Fax: 508-497-5079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for STEPHANIE M BODOR · (Female)

NPI # 1467486118
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 10/28/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 212971
  • MA Medicaid 0192970
  • MA Other 2942274 AETNA
  • MA Other 2942274 AETNA/US HEALTHCARE
  • MA Other J24759 BLUE CROSS/BLUE SHIELD
  • MA Other 6079812001 CIGNA
  • MA Other 204597 HARVARD PILGRIM
  • MA Other 198177 HEALTHSOURCE(CMHC)
  • MA Other 461234 TUFTS
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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