NPI 1306263108

Jamal Hogan, IDMT

Practitioner Independent Duty Medical Technicians McGuire Afb, NJ

Practice location

Address: 3322 Charles Blvd 108th Crg, McGuire Afb, NJ 08641
Phone: (609) 754-0367
Mailing address: 253 Montclair Ave Fl 2, Vauxhall, NJ 07088-1316

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in New Jersey →

Registry record

NPI: 1306263108
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2014
Record last updated: 19 Mar 2014

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.