NPI 1326341207

Richard a Forberg, EMT

Practitioner Basic Emergency Medical Technician Hainesport, NJ

Practice location

Address: 16 Adams Ln, Hainesport, NJ 08036-2600
Phone: (609) 914-1700

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 530134 (NJ)

Other Emergency Medical Technician, Basic providers in New Jersey →

Registry record

NPI: 1326341207
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Dec 2010
Record last updated: 14 Dec 2010

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.