Individual
HOSHIYUKI IIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
92 2ND ST, HACKENSACK, NJ 07601-2191
(551) 996-3033
Mailing address
59 DAVIS AVE, BLOOMFIELD, NJ 07003-4116
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
26NJ00532800
NJ
Other
Enumeration date
11/25/2017
Last updated
11/25/2017
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