Alex B Bodenstab
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
4745 Ogletown Stanton Rd Suite 225
Newark
, Delaware 19713-2067
Alex B Bodenstab
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
4745 Ogletown Stanton Rd Suite 225
Newark
, Delaware 19713-2067
(302) 731-7049
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Alex B Bodenstab
- 211 Executive Dr Ste 11
- Newark, DE
- Zip : 19702-3358
- Fax : (302) 731-7049
- Phone : (302) 731-2888
Second Address
- Alex B Bodenstab
- 4745 Ogletown Stanton Rd Suite 225
- Newark, DE
- Zip : 19713-2067
- Fax : (302) 731-7049
- Phone : (302) 731-2888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | CI0002138 | DE |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | CI0002138 | DE |
National Provider Identifier
| NPI | 1104806025 |
|---|---|
| Provider Name | Alex B Bodenstab |
| First Address | Newark, DE 19702-3358 |
| Second Address | Newark, DE 19713-2067 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2006 |
| Last Update Date | 05/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000182801 | (05) | DE |
| B66388 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.