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Contact Information

JULES BODO, DPM
619 BRIGHTON AVE STE 103
PORTLAND, ME04102-2373
 Phone: 207-910-5454
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JULES BODO · (Male)

NPI # 1235558818
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/10/2014
Last updated 08/20/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 006840
Hospital affiliation(s)
  • BRIDGTON HOSPITAL - (Critical Access)
    10 HOSPITAL DRIVE
    BRIDGTON, ME 04009
  • RUMFORD HOSPITAL - (Critical Access)
    420 FRANKLIN STREET
    RUMFORD, ME 04276
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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