Individual
RICHARD A FORBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
530134
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530134
NJ DEPT OF HEALTH & SENIOR SERVICES
NJ
Enumeration date
12/14/2010
Last updated
12/14/2010
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