Modi, Divyesh

Modi, Divyesh is an sole proprietor health care provider with primary practice located at 77-105 Bloomfield Ave , Bloomfield NJ 07003-5985. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Modi, Divyesh can be contacted via phone (973) 259-9290.

Contact Information

Primary practice address
77-105 Bloomfield Ave Bloomfield NJ 07003-5985
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI03203100 New Jersey

Profile Details

NPI number 1588078133
LBN Legal business name Modi, Divyesh
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2014
Last updated Jan 25th, 2023 - about last year

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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