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Organization
ROSANNA HODESTO MD PA
Active
Organization
ROSANNA HODESTO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANNA MODESTO MD (INTERNAL MEDICINE)
(201) 837-7662
Entity
Organization
Contact information
Practice address
773 TEANECK ROAD, TEANECK, NJ 07666
(201) 837-7662
(201) 837-7446
Mailing address
773 TEANECK ROAD, TEANECK, NJ 07666
(201) 837-7662
(201) 837-7446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA62208
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
658605
—
NJ
Enumeration date
08/24/2006
Last updated
08/22/2020
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