POONAM MODHA

PROVIDENCE, RI
NPI1679611842
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: RI  MD12839)
Enumeration Date2007-02-01
Last Update Date2009-12-03
Business Address
POONAM MODHA MD
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906-4800
Phone number: 401-455-6571
Mailing Address
POONAM MODHA MD
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906-4800
Phone number: 401-455-6571
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