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Physician Compare National (NPI:1033340278)

HEALTHCARE PROVIDER: MODUPE TOGUN DNP, FNP-BC, PMHNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1033340278
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4183817299
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101021000882
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name TOGUN
Individual professional last name
Provider First Name MODUPE
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2009
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 2324 N ROLLING RD
Group Practice or individual's line 1 address
City WINDSOR MILL
Group Practice or individual's city
State MD
Group Practice or individual's state
Zip Code 212441953
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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