Individual
DR. SMITA MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1407 OAK TREE RD, ISELIN, NJ 08830-1625
(732) 283-3311
(732) 283-3525
Mailing address
1407 OAK TREE RD, ISELIN, NJ 08830-1625
(732) 283-3311
(732) 283-3525
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA02777800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2871505
—
NJ
Enumeration date
07/07/2006
Last updated
07/09/2007
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