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Individual

ISHA TRUPEN MODI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1015 W BALTIMORE PIKE, JENNERSVILLE REGIONAL HOSPITAL, WEST GROVE, PA 19390-9459
(610) 869-1000
(610) 617-6280
Mailing address
1015 W BALTIMORE PIKE, JENNERSVILLE REGIONAL HOSPITAL, WEST GROVE, PA 19390-9459
(610) 869-1000
(610) 617-6280

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052926
PA

Other

Enumeration date
04/26/2007
Last updated
07/08/2007
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