Individual
ASHESH I MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4745 OGLETOWN STANTON RD, MAP #1, NEWARK, DE 19713-2067
(302) 738-5300
(302) 731-4822
Mailing address
4745 OGLETOWN STANTON RD, MAP #1, NEWARK, DE 19713-2067
(302) 738-5300
(302) 731-4822
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C10005584
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000944101
—
DE
Enumeration date
01/16/2007
Last updated
07/08/2007
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