Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 336099908 | IL |
N | 204F00000X | Transplant Surgeon | A125543 | CA |
Y | 204F00000X | Transplant Surgeon | MD440817 | PA |
N | 208200000X | Surgeon | MD440817 | PA |
N | 208600000X | Surgeon | MD440817 | PA |
N | 208200000X | Surgeon | MT190678 | PA |
N | 208600000X | Surgeon | MT190678 | PA |
NPI | 1366651416 |
---|---|
Provider Name | Dr. Adam Seth Bodzin |
First Address | Philadelphia, PA 19107-4944 |
Second Address | Philadelphia, PA 19107-4944 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 19/11/2018 |