Individual
JOHN MODICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 POMFRET ST, DAY KIMBALL HOSPITAL, PUTNAM, CT 06260
(860) 481-3730
(442) 268-1928
Mailing address
320 POMFRET ST, DAY KIMBALL HOSPITAL, PUTNAM, CT 06260
(860) 481-3730
(442) 268-1928
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
26506CT
CT
Other
Enumeration date
08/28/2006
Last updated
08/28/2023
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