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Contact Information

DANIEL IDAHOSA
1 ROBERT WOOD JOHNSON PL
MEB 104
NEW BRUNSWICK, NJ08901
 Phone: 732-235-8717
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DANIEL IDAHOSA · (Male)

NPI # 1710628987
Status Active
Credentials
Entity Individual
Enumeration date 04/05/2022
Last updated 07/21/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 335615
  • WV License # 35138
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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