Irvin M Modlin is a Surgery in New Haven, Connecticut. Irvin M Modlin practices all healthcare services and medical treatments related to Surgery. The NPI Number for Irvin M Modlin is 1265418941. The last update date is 2011-03-16.
Irvin M Modlin's current location address is 789 Howard Ave, New Haven, Connecticut. You can contact this provider via phone number 2037853207 and fax number 2037853826. The mailing address for Irvin M Modlin is 789 Howard Ave, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Irvin M Modlin |
|---|---|
| Address | 789 Howard Ave, New Haven, Connecticut |
| Phone Number | 2037853207 |
| Fax Number | 2037853826 |
| Sole Proprietor | N |
| Credentials | MD PHD |
NPI Number Detail
| NPI Number | 1265418941 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2011-03-16 |
Provider Mailing Address Detail
| Address | 789 Howard Ave |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65191304 |
| Phone Number | 2037853207 |
| Fax Number | 2037853826 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 25885 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1258854 | CT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Irvin M Modlin?
The Irvin M Modlin has been issued the NPI (National Provider Identifier) 1265418941 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Irvin M Modlin is physically located?
The Irvin M Modlin is situated at the following address: 789 Howard Ave, New Haven, CT 65191304.
What is Irvin M Modlin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Irvin M Modlin's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
On what date did the Irvin M Modlin receive the assignment of its 1265418941 from the Centers for Medicare & Medicaid Services?
The Irvin M Modlin was issued its 1265418941 by the Centers for Medicare & Medicaid Services on 2005-12-15.
As of what date were the Irvin M Modlin's details last updated?
The information pertaining to the Irvin M Modlin, including its address, specialty, and other details, was most recently updated on 2011-03-16.