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Contact Information

YURATA G MODZELEWSKI, MD
105 POWERVILLE ROAD
BOONTON TOWNSHIP, NJ07005
 Phone: 973-299-2903
 Fax: 973-299-2903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for YURATA G MODZELEWSKI · (Female)

NPI # 1275796286
Status Active
Credentials MD
Entity Individual
Enumeration date 07/09/2008
Last updated 07/09/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA03879000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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