Individual
ROSHAN Y MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4755 OGLETOWN STANTON ROAD, NEWARK, DE 19718-2200
(302) 733-1806
(302) 733-1068
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10435800
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
C10012126
DE
Other
Enumeration date
04/27/2011
Last updated
09/11/2019
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