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Contact Information

JAMAL HOGAN SR, IDMT
3322 CHARLES BLVD
108TH CRG
MCGUIRE AFB, NJ08641
 Phone: 609-754-0367
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Medical Technicians

1710I1003X
Indicates primary specialty

NPI Profile & details for JAMAL HOGAN SR · (Male)

NPI Number 1306263108
Status Active
Credentials IDMT
Entity Individual
Enumeration date 03/19/2014
Last updated 03/19/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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