Modern Medicine INC
NPI #1942256821 in Nitro, West Virginia
Provider Information
- NPI Number
- 1942256821
- Entity Type
- Organization
- Organization Name
- Modern Medicine INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 25, 2006
- Last Updated
- Apr 19, 2012
Practice Location
- Address
- 4114 1ST AVE
- City
- Nitro
- State
- West Virginia
- ZIP Code
- 25143
- Phone
- (304) 755-0119
Authorized Official
- Name
- ELIAS HAIKAL, MD
- Title
- PRESIDENT
- Phone
- (304) 755-0119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Family Medicine |
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