Yurata Gerwel Modzelewski MD

NPI 1275796286 - Pediatrics - 208000000X

NPI Details
NPI 1275796286
Gender Female
Enumeration Date 07/09/2008
Last Updated 07/09/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
105 POWERVILLE ROAD
BOONTON TWP NJ, 07005, US
Phone (973) 299-2903
Fax (973) 299-2903
Business Location
105 POWERVILLE ROAD
BOONTON TWP NJ, 07005, US
Phone (973) 299-2903
Fax (973) 299-2903
Toxanomy
Taxonomy Code 208000000X
License State New Jersey
License Number 25MA03879000
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According to our database, Mrs. Yurata Gerwel Modzelewski MD NPI is 1275796286, taxonomy code is 208000000X and license number is 25MA03879000, license state is located at New Jersey. Yurata Gerwel Modzelewski MD physically located at 105 Powerville Road, Boonton Twp NJ, 07005. NPI Number Yurata Gerwel Modzelewski MD has the Individual type.

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1275796286 NPI number is provided on an as is basis without warranty of any kind. 1275796286 is maintained by the National Plan & Provider Enumeration System. The contents of Yurata Gerwel Modzelewski MD are for informational purposes only.