Individual
CHINTAN MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98 JAMES STREET, # 200, EDISON, NJ 08820
(732) 243-9695
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08637300
NJ
207RG0100X
Gastroenterology Physician
Primary
25 MA 086 37300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0216844
—
NJ
Enumeration date
10/21/2009
Last updated
09/10/2024
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