Modena, Scott Alan

Modena, Scott Alan is an individual health care provider with primary practice located at 128 Route 70 Ste 1B , Medford NJ 08055-2371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Modena, Scott Alan can be contacted via phone (856) 237-8045.

Contact Information

Primary practice address
128 Route 70 Ste 1B Medford NJ 08055-2371
Phone: (856) 237-8045
Fax: (856) 237-8047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD417817 Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA07874900 New Jersey

Profile Details

NPI number 1659339133
LBN Legal business name Modena, Scott Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jan 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659339133 NPPES
Pennsylvania Other 1659328698 GROUP NPI #
Pennsylvania Other 1659328698 GROUP NPI #

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