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Individual

DR. VITO L MODUGNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
370 UNION BLVD, TOTOWA, NJ 07512-2561
(973) 389-1110
(973) 389-1921
Mailing address
370 UNION BLVD, TOTOWA, NJ 07512-2561
(973) 389-1110
(973) 389-1921

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DI 18054
NJ

Other

Enumeration date
01/31/2007
Last updated
07/08/2007
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