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Contact Information

MODUPE AGUNBIADE, DPM
310 CENTRAL AVE STE 303
EAST ORANGE, NJ07018-2838
 Phone: 973-337-2893
 Fax: 201-228-1689
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MODUPE AGUNBIADE · (Female)

NPI Number 1528443033
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/26/2015
Last updated 03/31/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MD00340500
  • NY License # N006878-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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