JACOB MODEST

PROVIDENCE, RI
NPI1518458371
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: RI  MD19033)
Enumeration Date2018-05-28
Last Update Date2023-06-16
Business Address
Dr. JACOB MODEST MD
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905-3248
Phone number: 401-457-1500
Mailing Address
Dr. JACOB MODEST MD
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914-5375
Phone number:
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