NPI 1508000225

Nicole Pennock, IDMT

Practitioner Independent Duty Medical Technicians McGuire Afb, NJ

Practice location

Address: 3458 Neely Rd, McGuire Afb, NJ 08641
Phone: (609) 754-9080

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in New Jersey →

Registry record

NPI: 1508000225
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2009
Record last updated: 24 Apr 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.