Bodner, Leonard J

Bodner, Leonard J is an sole proprietor health care provider with primary practice located at 579A Cranbury Rd University Radiology Group Pc, East Brunswick NJ 08816-5426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Bodner, Leonard J can be contacted via phone (732) 390-0040.

Contact Information

Primary practice address
579A Cranbury Rd University Radiology Group Pc East Brunswick NJ 08816-5426
Phone: (732) 390-0040
Fax: (732) 390-1856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA04617100 New Jersey
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 25MA04617100 New Jersey

Profile Details

NPI number 1083696223
LBN Legal business name Bodner, Leonard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Jan 3rd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083696223 NPPES
New Jersey MEDICAID 5109400
New Jersey MEDICAID 00610004

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