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General NPI Number Information
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NPI Number | 1609051994
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Entity Type | Organization
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Legal Business Name | ALEKSANDER J. BODNAR, M.D., P.A.
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 930 N WOOD AVE
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City | LINDEN
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State | NJ
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Zip | 07036-4040
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Country | US
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Telephone | 908-925-7400
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Fax | 908-925-7474
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Provider Business Mailing Address
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Address Line | 930 N WOOD AVE
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City | LINDEN
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State | NJ
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Zip | 07036-4040
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Country | US
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Telephone | 908-925-7400
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Fax | 908-925-7474
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JACKIE CESARZ
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Credential |
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Telephone | 908-925-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA06116600
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License Number State | NJ
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