DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLEN RAYMOND MOGAN, MD

Active Sole Proprietor

DR. GLEN RAYMOND MOGAN, MD is a Gastroenterology healthcare provider located in LIVINGSTON, New Jersey. NPI 1326015124 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · LIVINGSTON, NJ

Registration Details

NPI Number
1326015124
Provider Type
Individual
Gender
Male
NPI Issued
Mar 1, 2006 (20.433470562582 yrs)
Last Updated
Apr 5, 2017
License
25MA037333 (NJ)
Sole Proprietor
Yes

Practice Information

Address
200 S ORANGE AVE
SUITE 128
LIVINGSTON, NJ, 070395817
Browse NJ providers · Browse ZIP 07039
Phone
9733227755
Fax
9733227764
Primary Specialty
Gastroenterology
207RG0100X

Other Gastroenterology Providers in LIVINGSTON, NJ

Name Credential NPI
DR. JASON KEITH ABFIER M.D. 1124054861
DR. FREDERICK K SHIEH M.D. 1801918917
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.