Individual
RAHUL MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-6354
(617) 573-3939
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
261477
MA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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