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1104311612
JOSEPH M BODNAR
MEDFORD, NJ
NPI
1104311612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 40QA01796000)
Enumeration Date
2018-06-27
Last Update Date
2018-06-27
Business Address
JOSEPH M BODNAR DPT
131 ROUTE 70
MEDFORD, NJ 08055
Phone number: 856-533-0920
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Mailing Address
JOSEPH M BODNAR DPT
1377 MOTOR PKWY STE 307
ISLANDIA, NY 11749-5258
Phone number: 163-158-0520
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