Individual
MRS. LEENA M MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4041 HADLEY RD STE M, SOUTH PLAINFIELD, NJ 07080-1111
(908) 222-1011
Mailing address
29 TANBARK DR, PARLIN, NJ 08859-2509
(732) 651-6979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02310400
NJ
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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