NPI 1396972238
United States Air Force
Practice location
- Address
- Psc 3 Box 692, Apo, AP 96266
- Phone
- (310) 856-9968
- Mailing address
- 2305 Saxony Dr, Mount Laurel, NJ 08054
Authorised official
- Name
- Jesus Octavio Amador
- Title
- Independant Duty Medical Technician
- Phone
- (310) 856-9968
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1396972238
- Entity type
- Organization
- NPI issued
- 18 Jun 2009
- Record last updated
- 18 Jun 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.