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V.d.bodas, M.d.
Medical Specialty Clinic/Center in Newark, New Jersey
NPI 1174993752

V.d.bodas, M.d. is a Medical Specialty Clinic/Center based in Newark, NJ and is specialized in Medical Specialty. V.d.bodas, M.d. practices in Newark, NJ. The NPI Number for V.d.bodas, M.d. is 1174993752 and holds a License No. 25MA03353800 (New Jersey).

The current practice location address for V.d.bodas, M.d. is 268 M. L. K. Blvd., Newark, NJ and can be reached out via phone at 973-623-0606 and via fax at 973-623-0626.

Location: 268 M. L. K. Blvd., Newark, NJ, 07102-0211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174993752
Provider Name
V.d.bodas, M.d.
Credential
Provider Entity Type
Organization
Address
268 M. L. K. Blvd., Newark, NJ, 07102-0211
Phone Number
973-623-0606
Fax Number
973-623-0626
Provider Enumeration Date
09/25/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1257404 05 NJ
institution
Provider Business Practice Location Address Details
Address
268 M. L. K. Blvd.
City
Newark
State
New Jersey
Zip
07102
Phone Number
973-623-0606
Fax Number
973-623-0626
person
Provider Business Mailing Address Details
Address
268 M. L. K. Blvd.
City
Newark
State
New Jersey
Zip
07102
Phone Number
973-623-0606
Fax Number
973-623-0626
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
25MA03353800 (New Jersey)
Definition
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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