Individual
DR. PARTH CHANDRAKANT MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./M.H.A.
Contact information
Practice address
100 BOWMAN DR LOWR LEVEL2, VOORHEES, NJ 08043-9612
(856) 988-3444
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 767-3397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT204568
PA
2084N0400X
Neurology Physician
Primary
25MA10190300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0668974
—
NJ
Enumeration date
06/03/2013
Last updated
12/02/2024
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