Individual provider · Type 1 NPI

Idongesit Donatus Usoroh

Student in an Organized Health Care Education/Training Program · Hagerstown, MD

NPI number 1750175170 Active

Practice location

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Mailing address

954 Crosswind Pl
Cockeysville, MD 21030-4666

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750175170

Idongesit Donatus Usoroh's National Provider Identifier is 1750175170, issued on Apr 9, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hagerstown, MD. The record was last updated on Apr 9, 2025.