Individual
SALMA M MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3094
(203) 503-3107
Mailing address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3094
(203) 503-3107
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000220
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060646973
COMMUNITY HEALTH NETWORK
CT
01
—
OQ3502
HEALTH NET
CT
Enumeration date
03/08/2007
Last updated
09/16/2011
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