Individual
KEYUR MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 WASHINGTON BLVD STE 8, ROBBINSVILLE, NJ 08691-3162
(609) 490-1616
(609) 490-1617
Mailing address
1 WASHINGTON BLVD STE 8, ROBBINSVILLE, NJ 08691-3162
(609) 490-1616
(609) 490-1617
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02686700
NJ
208D00000X
General Practice Physician
Primary
22DI02686700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2017
Last updated
06/09/2026
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