Mara C Modzeski
Otolaryngologist (ENT Doctor)
132 Abigail Ln
Port Matilda
, Pennsylvania 16870-7153
Mara C Modzeski
Otolaryngologist (ENT Doctor)
132 Abigail Ln
Port Matilda
, Pennsylvania 16870-7153
(570) 271-6144
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Mara C Modzeski
- 100 N Academy Ave
- Danville, PA
- Zip : 17822-4903
- Phone : (570) 271-6144
Second Address
- Mara C Modzeski
- 132 Abigail Ln
- Port Matilda, PA
- Zip : 16870-7153
- Fax : (814) 272-6531
- Phone : (814) 272-5011
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FAQs
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Is Mara C Modzeski a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 58125 | MN |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD464929 | PA |
National Provider Identifier
| NPI | 1053758094 |
|---|---|
| Provider Name | Mara C Modzeski |
| First Address | Danville, PA 17822-4903 |
| Second Address | Port Matilda, PA 16870-7153 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2013 |
| Last Update Date | 01/09/2020 |
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.