Individual
DR. PRITI CHANDIWALA-MODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
29 E 29TH ST, DEPARTMENT OF RADIOLOGY, BAYONNE, NJ 07002-4654
(201) 858-7341
Mailing address
29 E 29TH ST, DEPARTMENT OF RADIOLOGY, BAYONNE, NJ 07002-4654
(201) 858-7341
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MB08864900
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
5101017022
MI
Other
Enumeration date
06/30/2008
Last updated
12/30/2024
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