DARRYK JAMES MODRACEK

PROVIDENCE, RI
NPI1780898932
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: RI  PA00313)
Enumeration Date2007-05-09
Last Update Date2014-03-14
Business Address
Mr. DARRYK JAMES MODRACEK PA-C
593 EDDY ST RHODE ISLAND HOSPITAL. DEPT OF CARDIAC SURGERY (CTIC)
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5150
Mailing Address
Mr. DARRYK JAMES MODRACEK PA-C
38 DR BRALEY RD
ROCHESTER, MA 02770-1900
Phone number: 508-858-8910
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