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Individual

ROOSEVELT BANTOE TOTAYE

Active
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Individual

ROOSEVELT BANTOE TOTAYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
SP032033
PA
207R00000X
Internal Medicine Physician
SP032033
PA
208600000X
Surgery Physician
SP032033
PA
2086S0127X
Trauma Surgery Physician
SP032033
PA
363LC0200X
Critical Care Medicine Nurse Practitioner
SP032033
PA
363LF0000X
Family Nurse Practitioner
Primary
SP032033
PA

Other

Enumeration date
01/09/2026
Last updated
04/28/2026
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