Individual
DANIEL IDAHOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, MEB 104, NEW BRUNSWICK, NJ 08901
(732) 235-8717
Mailing address
1 ROBERT WOOD JOHNSON PL, MEB 104, NEW BRUNSWICK, NJ 08901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
335615
NY
207P00000X
Emergency Medicine Physician
35138
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
07/21/2025
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