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Kenneth A Bodziak, MD
Nephrology Physician in Worcester, Massachusetts
NPI 1699790295

Kenneth A Bodziak is a Nephrology Physician based in Boston, MA and is specialized in Nephrology. Kenneth A Bodziak practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Kenneth A Bodziak is 1699790295 and holds a License No. 262575 (Massachusetts).

The current practice location address for Kenneth A Bodziak is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 508-334-1269 and via fax at 774-443-7827.

Location: 55 Lake Ave N, Worcester, MA, 02241-5348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699790295
Provider Name
Kenneth A Bodziak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA, 02241-5348
Phone Number
508-334-1269
Fax Number
774-443-7827
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110104086A 05 MA
4504993 01 OH AETNA
390007777 01 OH RAILROAD MEDICARE
000000224247 01 UNISON
741798 01 BUCKEYE
000000539531 01 ANTHEM
363368 01 WELLCARE
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-1269
Fax Number
774-443-7827
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-1269
Fax Number
774-443-7827
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
262575 (Massachusetts)
Definition
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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