Organization
KNJ HOSPITALIST GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIPUL MODY M.D. (OWNER)
(732) 666-5235
Entity
Organization
Contact information
Practice address
185 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-5401
(732) 666-5235
Mailing address
PO BOX 6801, BRIDGEWATER, NJ 08807-0801
(732) 666-5235
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MA63878
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185566
—
NJ
Enumeration date
08/14/2008
Last updated
04/01/2009
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