Modest, Geoffrey Alan

Modest, Geoffrey Alan is an individual health care provider with primary practice located at 500 Columbia Rd , Dorchester MA 02125-2322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Modest, Geoffrey Alan can be contacted via phone (617) 287-8000.

Contact Information

Primary practice address
500 Columbia Rd Dorchester MA 02125-2322
Phone: (617) 287-8000
Fax: (617) 282-8625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43150 Massachusetts

Profile Details

NPI number 1023002169
LBN Legal business name Modest, Geoffrey Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023002169 NPPES
Massachusetts MEDICAID 0127949

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