Nita Modi MD

NPI 1023016771 - Specialist - 174400000X

NPI Details
NPI 1023016771
Gender Female
Enumeration Date 07/07/2005
Last Updated 03/19/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
111 CENTRAL AVE
NEWARK NJ, 07102-1909, US
Phone (973) 877-5000
Fax
Business Location
3998 FAIR RIDGE DR
STE 300
FAIRFAX VA, 22033-2921, US
Phone (703) 295-9360
Fax (703) 766-9725
Toxanomy
Taxonomy Code 174400000X
License State New Jersey
License Number MA61617
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According to our database, Dr. Nita Modi MD NPI is 1023016771, taxonomy code is 174400000X and license number is MA61617, license state is located at New Jersey. Nita Modi MD physically located at 111 Central Ave, Newark NJ, 07102-1909. NPI Number Nita Modi MD has the Individual type.

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1023016771 NPI number is provided on an as is basis without warranty of any kind. 1023016771 is maintained by the National Plan & Provider Enumeration System. The contents of Nita Modi MD are for informational purposes only.