Individual
POONAM MODHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 TOLL GATE RD, PSYCHIATRY LIAISON CLINIC, WARWICK, RI 02886
(401) 737-7010
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD12839
RI
Other
Enumeration date
02/01/2007
Last updated
04/16/2025
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