Bodala, Durga R
Bodala, Durga R is an individual health care provider with primary practice located at 4013 Route 9 N Ste 1N , Howell NJ 07731-3307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bodala, Durga R can be contacted via phone (732) 905-5255.Contact Information
Primary practice address
4013 Route 9 N Ste 1N
Howell NJ 07731-3307
Phone: (732) 905-5255
Fax: (732) 905-5266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA079633 | New Jersey |
Profile Details
| NPI number | 1750341392 |
|---|---|
| LBN Legal business name | Bodala, Durga R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Mar 31st, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750341392 | NPPES |
| New Jersey | MEDICAID | 0096474 |
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