Provider Demographics
NPI:1609051994
Name:ALEKSANDER J. BODNAR, M.D., P.A.
Entity Type:Organization
Organization Name:ALEKSANDER J. BODNAR, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CESARZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-925-7400
Mailing Address - Street 1:930 N WOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-4040
Mailing Address - Country:US
Mailing Address - Phone:908-925-7400
Mailing Address - Fax:908-925-7474
Practice Address - Street 1:930 N WOOD AVE
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4040
Practice Address - Country:US
Practice Address - Phone:908-925-7400
Practice Address - Fax:908-925-7474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06116600207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty