Osamudiamen Idahosa M.D

NPI 1174729784 - Internal Medicine - 207R00000X

NPI Details
NPI 1174729784
Gender Male
Enumeration Date 06/21/2007
Last Updated 06/04/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
801 OSTRUM ST
BETHLEHEM PA, 18015-1000, US
Phone (484) 526-3285
Fax
Business Location
211 CHESTNUT LN
NORTH WALES PA, 19454-1303, US
Phone (267) 481-4905
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MT183290
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According to our database, Osamudiamen Idahosa M.D NPI is 1174729784, taxonomy code is 207R00000X and license number is MT183290, license state is located at Pennsylvania. Osamudiamen Idahosa M.D physically located at 801 Ostrum St, Bethlehem PA, 18015-1000. NPI Number Osamudiamen Idahosa M.D has the Individual type.

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1174729784 NPI number is provided on an as is basis without warranty of any kind. 1174729784 is maintained by the National Plan & Provider Enumeration System. The contents of Osamudiamen Idahosa M.D are for informational purposes only.