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Mackenzie Bodnaruk

NPI 1184537904 · on the registry since 2026

Practice

Address
113 Salem Tpke Ste 10a
Norwich, CT 06360
Phone
(860) 319-0077
Fax
(860) 319-5737
Organisation at this address
Ds Hai Medical Supply, Llc
Dva Healthcare Of Norwich Llc
International Vein Clinics Llc
Adaptive Prosthetics & Orthotics Llc
New England Orthotic & Prosthetic Systems, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
137

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut