Jerome E Bodian
Endocrinologist (Diabetes Doctor)
245 Engle St
Englewood
, New Jersey 07631-2465
Jerome E Bodian
Endocrinologist (Diabetes Doctor)
245 Engle St
Englewood
, New Jersey 07631-2465
(201) 871-9722
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Jerome E Bodian
- 245 Engle St
- Englewood, NJ
- Zip : 07631-2465
- Fax : (201) 871-9722
- Phone : (201) 567-0076
Second Address
- Jerome E Bodian
- 245 Engle St
- Englewood, NJ
- Zip : 07631-2465
- Fax : (201) 871-9722
- Phone : (201) 567-0076
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MA0194100 | NJ |
National Provider Identifier
| NPI | 1013079912 |
|---|---|
| Provider Name | Jerome E Bodian |
| First Address | Englewood, NJ 07631-2465 |
| Second Address | Englewood, NJ 07631-2465 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0927805 | (05) | NJ |
| C52808 | (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.