Individual
BIREN P MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115
(617) 732-6861
Mailing address
33 POND AVE, #1113, BROOKLINE, MA 02445-7163
(617) 732-6861
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
223925
MA
2086S0120X
Pediatric Surgery Physician
Primary
223925
MA
Other
Enumeration date
05/27/2006
Last updated
06/26/2018
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