Individual
DR. OLUYEMISI MODUPEORE ODUGBESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5000
Mailing address
6175 S BOSTON CIR, GREENWOOD VILLAGE, CO 80111-5242
(720) 515-4485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
307759
NY
207L00000X
Anesthesiology Physician
35.141249
OH
207L00000X
Anesthesiology Physician
Primary
51427
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56277237
—
CO
Enumeration date
04/11/2007
Last updated
03/24/2023
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