Mrs. Yurata G Modzelewski, MD
Pediatrics in Boonton Twp, New Jersey
1275796286- Practice location
- 105 Powerville Road, Boonton Twp, NJ 07005
- Phone
- 973-299-2903
- Fax
- 973-299-2903
- Last updated
- July 9, 2008
Yurata Gerwel Modzelewski is a Pediatrics based in Boonton Twp, NJ. Yurata Gerwel Modzelewski practices in Boonton Twp, NJ and has the professional credentials of MD. The NPI Number for Yurata Gerwel Modzelewski is 1275796286 and holds a License No. 25MA03879000 (NJ). The current practice location address for Yurata Gerwel Modzelewski is 105 Powerville Road, Boonton Twp, NJ 07005 and can be reached out via phone at 973-299-2903 and via fax at 973-299-2903.
Provider Profile Details
- NPI Number
- 1275796286
- Provider Name
- Yurata Gerwel Modzelewski
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 105 Powerville Road, Boonton Twp, NJ 07005
- Phone Number
- 973-299-2903
- Fax Number
- 973-299-2903
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 9, 2008
- Last Update Date
- July 9, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 Powerville Road
Boonton Twp, NJ 07005 - City
- Boonton Twp
- State
- New Jersey
- Zip
- 07005
- Phone Number
- 973-299-2903
- Fax Number
- 973-299-2903
Provider Business Mailing Address Details
- Address
- 105 Powerville Road
Boonton Twp, NJ 07005 - City
- Boonton Twp
- State
- NJ
- Zip
- 07005
- Phone Number
- 973-299-2903
- Fax Number
- 973-299-2903
License Information
- License Number
- 25MA03879000
- License State
- NJ
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Boonton Twp, NJ
View all Pediatrics providers in Boonton Twp →Frequently Asked Questions
What is the NPI number of Mrs. Yurata G Modzelewski, MD?
The NPI number of Mrs. Yurata G Modzelewski, MD is 1275796286. It was assigned on July 9, 2008 and is currently active in the NPPES registry.
What is the specialty of Mrs. Yurata G Modzelewski, MD?
Mrs. Yurata G Modzelewski, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA03879000.
Where does Mrs. Yurata G Modzelewski, MD practice?
The practice location is 105 Powerville Road, Boonton Twp, NJ 07005. The office can be reached at 973-299-2903 (phone) or 973-299-2903 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275796286 directly on the NPPES registry website.