Divyesh Modi
Divyesh Modi is a Pharmacist in Bloomfield, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2014
Practice location Address checks out
77-105 Bloomfield AveBloomfield, NJ 07003-5985
Phone: (973) 259-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 28RI03203100 (NJ) |
|---|
Record details
| NPI number | 1588078133 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 11, 2014 |
| Last updated in NPPES | January 25, 2023 |
| Certification date | January 25, 2023 |
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