Individual provider · Type 1 NPI

Mofesola Modupe, DO

Pediatrics Physician · Augusta, ME

NPI number 1457932014 Active

Practice location

6 E Chestnut St Ste 310
Augusta, ME 04330-5760

Fax (207) 626-9374

Mailing address

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Other practice locations

  • 530 NE Glen Oak Ave, Peoria, IL 61637-0001 · (309) 665-2274

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XDO4361 (ME)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

3 other providers at this address

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About NPI 1457932014

Mofesola Modupe, DO's National Provider Identifier is 1457932014, issued on Apr 15, 2021. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Augusta, ME. The record was last updated on Jul 22, 2026.