Individual
ALLEN C OGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1601 TILTON RD, NORTHFIELD, NJ 08225-1877
(609) 407-4797
Mailing address
569 HOLLY BROOK DR, GALLOWAY, NJ 08205-2905
(609) 334-9236
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01004800
NJ
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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