Individual
MR. JAMES LOGULI MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 WHEELER ST, SUITE 401, LYNN, MA 01902-4416
(781) 593-0100
(781) 599-3329
Mailing address
20 WHEELER ST, SUITE 401, LYNN, MA 01902-4416
(781) 593-0100
(781) 599-3329
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
0
—
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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