Eric Idahor
NPI #1164035606 in Stoughton, Massachusetts
Provider Information
- NPI Number
- 1164035606
- Entity Type
- Individual
- Name
- Eric Idahor
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 25, 2020
- Last Updated
- Aug 25, 2020
Practice Location
- Address
- 111 TAMARACK DR
- City
- Stoughton
- State
- Massachusetts
- ZIP Code
- 02072-5013
- Phone
- (781) 223-1671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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