Individual
DR. DANIEL CHRISTOPHER MODARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7580 AUBURN ROAD, SUITE 202, CONCORD TWP, OH 44077-9406
(440) 352-0400
(440) 352-4535
Mailing address
7580 AUBURN ROAD, SUITE 202, CONCORD TWP, OH 44077-9406
(440) 352-0400
(440) 352-4535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-006969
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000339418
ANTHEM
OH
05
—
2109444
—
OH
01
—
264200000
FEDERAL BLACK LUNG
OH
01
—
6600162
UNITED HEALTHCARE
OH
01
—
80507
QUALCHOICE
OH
Enumeration date
03/27/2006
Last updated
02/25/2021
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