Individual ProviderDieynaba ToureFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865-2748(908) 847-3300(484) 884-4500PECOS EnrollmentBased on the most recent information from CMS, provider Dieynaba Toure is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1760914113Provider TypeIndividualFull NameToure, DieynabaTitleDr.CredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date4/3/2017Last Updated12/2/2021Contact InformationPractice LocationPractice Address755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865-2748Phone(908) 847-3300FaxUnlisted FaxMailing LocationMailing AddressPO Box 783311, Philadelphia, PA 19178-3311Phone(484) 884-4500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseOS020926PennsylvaniaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseP19-01027New Jersey