Nchedochukwu Idahosa, PA

NPI #1306352638 in Dundalk, Maryland

Provider Information

NPI Number: 1306352638
Entity Type: Individual
Name: Nchedochukwu Idahosa, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 22, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 1576 MERRITT BLVD STE 18
City: Dundalk
State: Maryland
ZIP Code: 21222-2132
Phone: (443) 693-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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