Individual
KATHAN MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
138 WINTHROP RD, EDISON, NJ 08817-3834
(848) 248-0214
Mailing address
138 WINTHROP RD, EDISON, NJ 08817-3834
(848) 248-0214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00959800
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00959800
NJ
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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