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Organization
MODIVERA MEDICAL PC
Active
Organization
MODIVERA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HANCOCK (CEO)
(412) 965-5341
Entity
Organization
Contact information
Practice address
553 CHURCH HILL RD, VENETIA, PA 15367-1144
(412) 965-5341
(412) 965-5341
Mailing address
553 CHURCH HILL RD, VENETIA, PA 15367-1144
(412) 965-5341
(412) 965-5341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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