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Dr. Nita Modi, MD
Specialist in Newark, New Jersey
NPI 1023016771

Nita Modi is a Specialist based in Fairfax, NJ. Nita Modi practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Nita Modi is 1023016771 and holds a License No. MA61617 (New Jersey).

The current practice location address for Nita Modi is 111 Central Ave, Newark, NJ and can be reached out via phone at 973-877-5000.

Location: 111 Central Ave, Newark, NJ, 22033-2921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023016771
Provider Name
Nita Modi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 Central Ave, Newark, NJ, 22033-2921
Phone Number
973-877-5000
Fax Number
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6670601 05 NJ
institution
Provider Business Practice Location Address Details
Address
111 Central Ave
City
Newark
State
New Jersey
Zip
07102-1909
Phone Number
973-877-5000
Fax Number
person
Provider Business Mailing Address Details
Address
111 Central Ave
City
Newark
State
New Jersey
Zip
07102-1909
Phone Number
973-877-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA61617 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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