Individual
ANDREW P MODEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 492-3500
(617) 499-5473
Mailing address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 492-3500
(617) 499-5473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53152
MA
208M00000X
Hospitalist Physician
Primary
53152
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014945
NEIGHBORHOOD HEALTH
MA
01
—
053152
TUFTS
MA
05
—
3193454
—
MA
01
—
J10787
BLUE CROSS
MA
01
—
M470
HARVARD PILGRIM
MA
Enumeration date
07/04/2006
Last updated
10/27/2020
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