Provider Demographics
NPI:1902118383
Name:UNUIGBE, AUGUSTINE AIGBOVBIOISE (MD)
Entity Type:Individual
Prefix:DR
First Name:AUGUSTINE
Middle Name:AIGBOVBIOISE
Last Name:UNUIGBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10 BAYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-7250
Mailing Address - Country:US
Mailing Address - Phone:609-457-1415
Mailing Address - Fax:609-788-0474
Practice Address - Street 1:4622 BLACK HORSE PIKE
Practice Address - Street 2:SUITE 101
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330
Practice Address - Country:US
Practice Address - Phone:609-705-8143
Practice Address - Fax:609-837-0144
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD440514207R00000X
VA0101247862207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine