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1821053927
INGRID E MODY
BRIDGEPORT, CT
NPI
1821053927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 000973)
Enumeration Date
2006-04-20
Last Update Date
2007-07-08
Business Address
-- INGRID E MODY PA-C
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3873
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Mailing Address
-- INGRID E MODY PA-C
PO BOX 5246
BRIDGEPORT, CT 06610-0246
Phone number: 203-384-3873
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