Individual
POOJA M MODH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,FNP-C,BSN,RN,CEN
Contact information
Practice address
15 HOPKINSON LN, SOMERSET, NJ 08873-7460
(732) 491-7304
Mailing address
15 HOPKINSON LN, SOMERSET, NJ 08873-7460
(732) 491-7304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14869400
NJ
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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