Individual
DR. MODUPE AGUNBIADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
310 CENTRAL AVE STE 303, EAST ORANGE, NJ 07018-2838
(973) 337-2893
(201) 228-1689
Mailing address
310 CENTRAL AVE STE 303, EAST ORANGE, NJ 07018-2838
(973) 337-2893
(201) 228-1689
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00340500
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
N006878-01
NY
Other
Enumeration date
07/26/2015
Last updated
03/31/2026
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