IndividualActive
Jamal Hogan, IDMT
NPI 1306263108 · Independent Duty Medical Technicians · Mcguire Afb, NJ
Provider details
- NPI number
- 1306263108
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Practice location
3322 Charles Blvd
108th Crg
Mcguire Afb, NJ 08641
Phone: (609) 754-0367
Mailing address
253 Montclair Ave Fl 2
Vauxhall, NJ 07088-1316
Registry dates
- Enumerated
- 2014-03-19
- Last updated
- 2014-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.