Dr. John Frederic Modlin
Pediatric Infectious Diseases
1 Medical Center Dr
Lebanon
, New Hampshire 03756-1000
Dr. John Frederic Modlin
Pediatric Infectious Diseases
1 Medical Center Dr
Lebanon
, New Hampshire 03756-1000
(603) 653-6041
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. John Frederic Modlin
- 1 Medical Center Dr
- Lebanon, NH
- Zip : 03756-1000
- Phone : (603) 653-6041
Second Address
- Dr. John Frederic Modlin
- 1 Medical Center Dr
- Lebanon, NH
- Zip : 03756-1000
- Fax : (603) 653-6050
- Phone : (603) 653-6041
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | 8561 | NH |
National Provider Identifier
| NPI | 1538275334 |
|---|---|
| Provider Name | Dr. John Frederic Modlin |
| First Address | Lebanon, NH 03756-1000 |
| Second Address | Lebanon, NH 03756-1000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2006 |
| Last Update Date | 19/07/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0001647 | (05) | VT |
| 80001647 | (05) | NH |
| B69636 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.