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Contact Information

SHAILJA MODI, DO
65 JAMES ST
EDISON, NJ08820
 Phone: 732-321-7641
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SHAILJA MODI · (Female)

NPI # 1477180263
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/24/2020
Last updated 10/31/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB11619200
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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