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Organization

MODY & MILLER, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARSHAD R. MODY M.D. (PRESIDENT)
(410) 760-5599
Entity
Organization

Contact information

Practice address
7310 RITCHIE HWY, SUITE 710, GLEN BURNIE, MD 21061-3065
(410) 760-5599
(410) 760-3917
Mailing address
7310 RITCHIE HWY, SUITE 710, GLEN BURNIE, MD 21061-3065
(410) 760-5599
(410) 760-3917

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
083421100
MD
05
652741800
MD
05
779301400
MD
Enumeration date
03/23/2007
Last updated
05/21/2009
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