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Mahendra Modi, MD
Specialist in Paterson, New Jersey
NPI 1831186394

Mahendra Modi is a Specialist based in Brookline, NJ. Mahendra Modi practices in Paterson, NJ and has the professional credentials of MD. The NPI Number for Mahendra Modi is 1831186394 and holds a License No. 25MA02777700 (New Jersey).

The current practice location address for Mahendra Modi is 703 Main St, Paterson, NJ and can be reached out via phone at 973-754-2645.

Location: 703 Main St, Paterson, NJ, 02446-9135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831186394
Provider Name
Mahendra Modi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
703 Main St, Paterson, NJ, 02446-9135
Phone Number
973-754-2645
Fax Number
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
574480Q9E 05 NJ
institution
Provider Business Practice Location Address Details
Address
703 Main St
City
Paterson
State
New Jersey
Zip
07503-2621
Phone Number
973-754-2645
Fax Number
person
Provider Business Mailing Address Details
Address
703 Main St
City
Paterson
State
New Jersey
Zip
07503-2621
Phone Number
973-754-2645
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA02777700 (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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