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Individual

DR. DANESH S MODI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
609 W. GERMANTOWN PIKE, MEDICAL ARTS BUILDING SUITE 120, EAST NORRITON, PA 19403
(610) 279-1370
(610) 279-1372
Mailing address
207 N BROAD ST, FL 3, PHILADELPHIA, PA 19107-1500
(610) 279-1370
(610) 279-1372

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
OS015569
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103123660
PA
Enumeration date
06/05/2008
Last updated
07/13/2023
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