Individual
JAMAL HOGAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
3322 CHARLES BLVD, 108TH CRG, MCGUIRE AFB, NJ 08641
(609) 754-0367
Mailing address
253 MONTCLAIR AVE FL 2, VAUXHALL, NJ 07088-1316
(973) 508-8169
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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