Alex B Bodenstab, MD
Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery in Newark, DE. Individual provider (NPI-1).
NPI number1104806025
StatusActive
Last updated in NPPESJan 25, 2024
Details
- NPI
- 1104806025
- Entity type
- Individual (NPI-1)
- Name
- Alex B Bodenstab
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2006
- Certification date
- Jan 25, 2024
- Last updated
- Jan 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0114X | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | CI0002138 | DE | Yes |
| 207X00000X | Orthopaedic Surgery | CI0002138 | DE |
Practice location
4745 Ogletown Stanton Rd Ste 225Newark, DE 19713-1387
Phone 302-731-2888 · Fax 302-731-7049
Mailing address
211 Executive Dr Ste 11Newark, DE 19702-3358
Phone 302-731-2888 · Fax 302-731-7049
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