Individual
DR. SCOTT ALAN MODENA
Active
Individual
DR. SCOTT ALAN MODENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA07874900
NJ
207RG0100X
Gastroenterology Physician
MD417817
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445894
—
NJ
01
—
1659328698
GROUP NPI #
NJ
01
—
1659328698
GROUP NPI #
PA
Enumeration date
05/03/2006
Last updated
10/08/2024
Update your record
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