Individual
DR. VIJAY MODUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 SQUIRREL HILL RD, ACTON, MA 01720-2017
(610) 409-8366
Mailing address
50 BINNEY ST, CAMBRIDGE, MA 02142-1512
(508) 308-6173
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
2010013501
MO
Other
Enumeration date
04/06/2019
Last updated
04/06/2019
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