Individual
NILESH K MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
651 HIGH ST, BURLINGTON, NJ 08016-2737
(609) 386-0775
Mailing address
PO BOX 1309, MARLTON, NJ 08053-6309
(609) 567-0200
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
26NR18978700
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ14984700
NJ
Other
Enumeration date
01/19/2023
Last updated
11/25/2024
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