Modest, Geoffrey Alan
Modest, Geoffrey Alan is an individual health care provider with primary practice located at 500 Columbia Rd , Dorchester MA 02125-2322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Modest, Geoffrey Alan can be contacted via phone (617) 287-8000.Contact Information
Primary practice address
500 Columbia Rd
Dorchester MA 02125-2322
Phone: (617) 287-8000
Fax: (617) 282-8625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 43150 | Massachusetts |
Profile Details
| NPI number | 1023002169 |
|---|---|
| LBN Legal business name | Modest, Geoffrey Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023002169 | NPPES |
| Massachusetts | MEDICAID | 0127949 |
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