Agunbiade, Modupe
Agunbiade, Modupe is an sole proprietor health care provider with primary practice located at 310 Central Ave Ste 303 , East Orange NJ 07018-2838. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Agunbiade, Modupe can be contacted via phone (973) 337-2893.Contact Information
Primary practice address
310 Central Ave Ste 303
East Orange NJ 07018-2838
Phone: (973) 337-2893
Fax: (201) 228-1689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 25MD00340500 | New Jersey |
Profile Details
| NPI number | 1528443033 |
|---|---|
| LBN Legal business name | Agunbiade, Modupe |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2015 |
| Last updated | Jun 6th, 2022 - about 2 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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