TROY G MODISETTE

BALTIMORE, MD
NPI1255974549
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R148972)
Enumeration Date2019-10-20
Last Update Date2020-10-31
Business Address
Mr. TROY G MODISETTE PMHNP
2401 W BELVEDERE AVE
BALTIMORE, MD 21215-5216
Phone number: 410-601-1000
Mailing Address
Mr. TROY G MODISETTE PMHNP
10601 VIRGINIA AVE
COCKEYSVILLE, MD 21030-2315
Phone number: 443-742-9167
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