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Individual
BIREN P MODI
Active
Individual
BIREN P MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
223925
MA
2086S0120X
Pediatric Surgery Physician
Primary
223925
MA
Other
Enumeration date
05/27/2006
Last updated
06/26/2018
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