Organization
BARBARA M MODIC MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA MARIE MODIC M.D. (OWNER)
(330) 792-2577
Entity
Organization
Contact information
Practice address
25 N CANFIELD NILES RD, SUITE110, AUSTINTOWN, OH 44515-2328
(330) 792-2577
(330) 792-3199
Mailing address
25 N CANFIELD NILES RD, SUITE110, AUSTINTOWN, OH 44515-2328
(330) 792-2577
(330) 792-3199
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
35055600
OH
Other
Enumeration date
07/27/2010
Last updated
09/07/2010
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