Individual
KUSH MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 BERGEN ST STE D-1610, NEWARK, NJ 07103-2425
(973) 972-3860
Mailing address
152 LUND AVE, EDISON, NJ 08820-1417
(732) 318-0645
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2022
Last updated
04/16/2022
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