Individual
DR. DANIEL EZIDIEGWU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 ANNAPOLIS RD STE 100, ODENTON, MD 21113-1622
(410) 672-2255
(410) 672-2275
Mailing address
1130 ANNAPOLIS RD STE 100, ODENTON, MD 21113-1622
(410) 672-2255
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H91622
MD
Other
Enumeration date
04/25/2017
Last updated
06/28/2023
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